Villa Blanca

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced Annual Required visit and inspection of the facility. Upon arrival, LPA was greeted by staff and stated the purpose of the visit. Upon arrival, there were four (4) residents in care and one staff on duty. Administrator Nonna Rozhko arrived shortly thereafter. Entrance interview conducted: The facility is a one-story Residential Care Facility for the Elderly (RCFE). The facility accepts residents with a dementia diagnosis; has a waiver for three hospice residents; and a fire clearance for six non-ambulatory residents. Currently, there are no residents on hospice residing in the facility. A tour of the physical environment and accommodations were assessed. The following was noted: LPA observed the required posting of the complaint poster and Resident’s Rights. LPA inspected the facility for fire safety, personal accommodations, and food service. The physical environment was checked for cleanliness and condition. Walls, windows, doors, ceilings, floors and floor coverings were checked. Smoke alarms and carbon monoxide alarms are in good working order. The facility was seen to be in good repair inside and outside. The kitchen area was sufficiently stocked with two-day perishables and seven-day non-perishables. Snacks and beverages are available. LPA observed the kitchen cabinets, refrigerator, stove, and counters are clean. LPA observed the sharps are kept in a locked drawer near the stove. The kitchen trash is a covered container located in the kitchen area. Cleaning agents are kept in a locked cabinet under the kitchen sink. Please continue to 809-C, Pg 2. The front yard has paved walkways and tiled walkways and plants. The backyard has a patio with outdoor furniture and an umbrella for shade. The recycling bin, green waste bin, and trash bins are standard bins with flip lids. A locked private staff room is located in the facility near the residents' rooms. The laundry area is part of the locked staff room. The living room and dining area are neat and clean. The facility maintains a comfortable temperature. Hallways, bedroom doors, and walls are in good repair. A fire extinguisher is mounted on a wall between the kitchen and dining area. The fire extinguisher was serviced on 5/21/2026. Two first aid kits are kept in a kitchen cabinet. Both kits are fully equipped with essential supplies as well as additional first aid supplies. The facility has six (6) bedrooms for six residents. Each resident’s room has lights and nightstand lamps to provide sufficient lighting. Bedrooms 1, 4, and 5 are private bedrooms with a private bathroom. Bathroom #1 is a shared bathroom with hallway access. The bathrooms have grab bars with easy access into the shower area. Residents participate at will in activities such as but not limited to listening to a pianist, reading materials, coloring, word puzzles, picture puzzles, games, and walks around the neighborhood. The facility also has parties for residents to celebrate birthdays, holidays, and days of special recognition. Medications are kept in a locked cabinet located in the kitchen. All medications have signed and dated written orders from a physician. Medications are administered as prescribed. Residents’ files were reviewed. LPA noted that on file for each resident are the following: Identification and Emergency Information, Physician’s Reports, Admission Agreements, Appraisals/Needs & Service Plans, and Medication Administration Records (MARs). Personnel records were reviewed. On file are First Aid/CPR certifications, trainings are up-to-date, health screenings are current, criminal background clearances are current and all staff have been properly associated to the facility. Administrator/Licensees' certifications are current. Exit interview conducted. No deficiencies noted. Copy of report issued at the time of the visit.the state’s words, verbatim · CDSS document, Jun 4, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced Annual Required visit and inspection of the facility. Upon arrival, LPA was greeted by Co-Administrator Nonna Rozhko and stated the purpose of the visit. There are five (5) residents in care and Co-Administrator was on duty. Administrator Inna Lyutko arrived shortly thereafter. Entrance interview conducted: The facility is a one-story Residential Care Facility for the Elderly (RCFE). The facility accepts residents with a dementia diagnosis; has a waiver for three hospice residents; and a fire clearance for six non-ambulatory residents. Currently, there are two residents on hospice residing in the facility. A tour of the physical environment and accommodations were assessed. The following was noted: LPA observed the required posting of the complaint poster and Resident’s Rights. LPA inspected the facility for fire safety, personal accommodations, and food service. First aid kit was observed to be complete. The physical environment was checked for cleanliness and condition. Walls, windows, doors, ceilings, floors and floor coverings were checked. Smoke alarms and carbon monoxide alarms are in good working order. The facility was seen to be in good repair inside and outside. The kitchen area was sufficiently stocked with two-day perishable and seven-day non-perishables. Snacks and beverages are available for Residents in the facility. LPA observed the kitchen cabinets, refrigerator, stove, and counters are clean. LPA observed the sharps are kept in a locked drawer near the stove. The kitchen trash is a covered container located in the kitchen area. Cleaning agents are kept in a locked cabinet under the kitchen sink. Medications are also kept in a locked cabinet located in the kitchen. Please continue to 809-C, Pg 2. The front yard has paved walkways and tiled walkways and plants. The backyard has a patio with outdoor furniture and an umbrella for shade. The recycling bin, green waste bin, and trash bins are standard bins with flip lids. A locked private staff room is located in the facility near the residents' rooms. The laundry area is part of the locked staff room. The living room and dining area are neat and clean. The facility maintains a comfortable temperature. Hallways, bedroom doors, and walls are in good repair. The facility has six (6) bedrooms for six residents. Each resident’s room has lights and nightstand lamps to provide sufficient lighting. Bedrooms 1, 4, and 5 are private bedrooms with a private bathroom. Bathroom #1 is a shared bathroom with hallway access. The bathrooms have grab bars with easy access into the shower area. Residents participate at will in activities such as but not limited to listening to a pianist, reading materials, coloring, word puzzles, picture puzzles, games, walks around the neighborhood, outings to local eateries, local attractions, concerts, and religious celebrations. The facility also has parties for residents to celebrate birthdays and holidays. All medications have signed and dated written orders from a physician. Residents’ files were reviewed. LPA noted that on file for each resident was the following: Physician’s Reports, Admission Agreements, Medical Assessments, Identification and Emergency information, Appraisals/Needs Service Plan, and Medical Accounting Records (MARs). All staff have been properly associated to the facility. Staff files were reviewed. Administrator/Licensees' certifications are current. Exit interview conducted. No citations were issued. Copy of report issued at the time of the visit.the state’s words, verbatim · CDSS document, Jun 11, 2025

Allegation investigated: Staff do not meet residents' incontinence needs. Staff did not answer resident's call button in a timely manner.

Licensing Program Analyst (LPA) Kristin Kontilis conducted a subsequent complaint visit to deliver final findings for the above allegation. At the time of arrival, LPA was greeted by Staff 1 (S1). During today’s visit, LPA met with Nonna Rozhko, Administrator and explained the purpose of the visit. The initial visit was conducted on 4/14/2023 from 12:15pm to 3:00pm by LPA Kristin Kontilis. LPA toured the facility, interviewed staff, and obtained relevant documents. LPA conducted a subsequent visit on 5/15/2024 from 9:30am to 4:15pm. LPA conducted interviews with residents, staff, and Licensee/Administrator between 12:05 pm and 2:35 pm and obtained additional documents. LPA also interviewed staff and residents during today’s visit. On the allegations: Staff do not meet residents' incontinence needs and Staff did not answer resident's call button in a timely manner. It was alleged a resident was left on the toilet for over 35 minutes before a caregiver answered their call button because they did not hear the call. The reporting party also stated staff took over 30 minutes to answer the call button on another occasion. It was alleged a caregiver left a resident soiled for 24 hours during the night shift. All three witnesses interviewed confirmed a resident had stated Please continue to 9099-C, Pg 2. Substantiated to them around April 2023 that the resident had had to wait a long time for assistance going to the bathroom. One witness stated they were present when the resident was waiting for help, which was approximately at least a half hour, and the witness left before the resident received assistance. Another witness stated the resident frequently complained about the long wait times for assistance getting out of bed and going to the restroom, sometimes waiting an hour for staff to come. Another witness stated the staff later provided the resident a commode but would not provide the resident assistance with it. One witness stated regarding the call buttons that the resident stated they had to wait a “long, long time” for staff to provide assistance. Staff interviewed stated they regularly check incontinent residents every 2-3 hours, and assist residents every 2-4 hours to the bathroom. LPA reviewed a current shower log from 5/1/2024 through 9/13/2024. The log reflects residents received showers at least once each week. Administrator stated staff sometimes get busy and do not always record when a resident has had a shower. Administrator further stated that three of the six residents are currently on hospice and hospice provides a bed bath and/or shower with facility staff assisting hospice personnel. Administrator stated residents are provided sponge baths, linen change, and showers on an as needed basis and the lack of odorous smells is indicative of providing proper care to the residents. Staff also stated they respond timely to residents call buttons but could not provide any logs for the response times. One resident interview revealed residents are responded to right away. Another resident stated the staff cannot hear the resident if they call for them because the room is soundproof. Therefore, the resident must rely on staff to check on them from time to time. Other residents were unable to state whether their call buttons or bells are answered timely. Based on the consistent information provided over a year after the initial allegations were made, the allegations are deemed Substantiated at this time. The following deficiencies were observed (See LIC 9099-D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies may result in additional civil penalties. Exit interview conducted. Copy of report and appeal rights at the time of the visit. Staff interviewed denied roughly handling residents at any time. Witnesses interviewed stated they did not observe or hear about any rough handling of residents. Although the allegation may have occurred, there was insufficient evidence to prove the allegation. Therefore it is deemed Unsubstantiated at this time. Exit interview conducted. No deficiencies noted. Copy of report issued at the time of the visit.the state’s words, verbatim · CDSS document, Sep 13, 2024 · control 29-AS-20230410085101

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.2(a)(4) · Plan of correction due date: Sep 18, 2024

87468.2(a)(4) Personal Rights…Residents in privately operated residential care facilities for the elderly shall have all of the following personal rights…To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs.: This requirement was not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above when residents had to wait to have call buttons responded to to meet their toileting needs, which posed a potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Sep 13, 2024

Plan of correction: Licensee agrees to submit a written statement acknowledging 87468.2 in its entirety. Written statement will be sent directly to LPA via email by POC due date.

Allegation investigated: Staff yell at residents. Staff confine residents in their rooms. Staff did not provide resident with housekeeping service. Staff do not meet residents' dietary needs.

Licensing Program Analyst (LPA) Kristin Kontilis conducted a subsequent complaint visit to deliver findings for the above-stated allegations. LPA met with Inna Lyukto, Licensee/Administrator and explained the purpose of the visit. During the investigation, LPA conducted interviews with reporting party, staff, and residents. LPA obtained documents pertaining to the investigation. During the initial investigation visit on 4/14/2023, LPA conducted interviews with staff between 12:15 pm and 3:00 pm. During today’s subsequent visit, LPA conducted interviews with residents, staff, and Licensee/Administrator between 12:05 and 2:35 pm and obtained additional documents. On the allegation, Staff yell at residents: Observations made and interviews conducted revealed residents have difficulty hearing at a regular voice volume. Staff 1 (S1) stated they may sound loud, but is not loud and not intended to yell.” LPA observed S1’s voice to project clearly and in a positive and “matter of fact” manner. Licensee also stated residents have difficulty hearing at a regular voice volume and some residents Please continue to 9099-C, Pg 2. Unsubstantiated more than others. During interviews with residents, residents demonstrated difficulty hearing LPA during interviews. Additionally, LPA observed S1 complimenting residents throughout LPA’s visit. Observations made and interviews conducted, the allegation that staff yell at residents is deemed Unsubstantiated at this time. On the allegation, Staff confine residents in their rooms: Upon LPA’s visit to the facility on 4/14/2023 and 5/26/2023, LPA observed five (5) residents in the living room upon LPA’s arrival. On today’s visit, LPA observed four (4) residents in the living room upon LPA’s arrival. Interviews conducted revealed residents are free to exercise their choice of whether they want to be in their room or be out in the common area. Interviews revealed Resident 1 (R1), Resident 2 (R2), Resident 3 (R3) and Resident 4 (R4) frequently sit in the living room after breakfast and through lunch. Interviews conducted further revealed Resident 5 (R5) prefers to stay in their room throughout the day and into the night; R5 does not like TV or music and prefers a very quiet environment; R5 regularly eats all meals in their room by R5’s choice. Licensee stated R5 is adamant about R5’s quiet environment. Based on observations made and interviews conducted, the allegation that staff confine residents in their rooms is deemed Unsubstantiated at this time. On the allegation, Staff did not provide resident with housekeeping service: Upon LPA’s visit to the facility on 4/14/2023 and 5/26/2023, LPA noted and observed the facility to be clean, odorless, and in good repair. During today’s visit, LPA observed the facility to be clean, odorless, and in good repair. Interviews conducted revealed staff change the bedding at least once a week and on an as needed basis; Staff on duty are caregivers who change bedding and observe any housekeeping needs; floors are cleaned (swept and washed) every day; trash is taken out several times each day; windows and screens are cleaned on a regular basis; and bathrooms are cleaned every day. Interviews conducted further revealed Staff 2 (S2) conducts a “deep” cleaning on S2’s regularly scheduled shift twice each week. Staff interviews revealed S2 is very diligent about the cleanliness of the facility when on duty. Based on observations made and interviews conducted, the allegation that Staff did not provide resident with housekeeping service is deemed Unsubstantiated at this time. Please continue to 9099-C, Pg 3. On the allegation, Staff do not meet residents' dietary needs: Interviews conducted revealed residents are not on a special diet and do not require food to be blended. Licensee stated if a resident is prescribed a special diet, the facility will meet the resident's dietary needs. Interviews conducted revealed the meal items are rotated throughout the week and month—meaning meats, chicken, fish, eggs, fresh fruit, and fresh vegetables are served in variety and all meals including pastas and soups are primarily made from scratch. Interviews conducted revealed residents eat all of their meal most of each mealtime. Interviews conducted revealed staff will honor a resident’s special request for a meal or a particular food item. LPA obtained the facility meal log from dates 4/7/2023 through 4/14/2023 and 5/8/2024 through 5/15/2024. Breakfast meals prepared in the facility and served to residents on different dates consisted of oatmeal, fruit, juice, coffee; waffles, fruit, sausage, juice; eggs with ham, fruit, toast, coffee/juice; cereal, milk, fruit, juice, water, coffee; eggs, spinach, tomato, spam; and eggs, link sausage, cake, fruit, juice, coffee, tea. Lunch meals prepared in the facility and served to residents on different dates consisted of soup, sandwich, juice; chicken sandwich with lettuce and tomato, water, juice, cake; chicken salad sandwich with celery, carrot, shredded cheese, soup, juice, water; grilled cheese, juice; soup, tuna sandwich, juice; soup, hot dogs, juice; chicken, potato salad, rice, cookies, water; pasta salad w/ham and vegetables soup, water; and bean soup, mushrooms, meat pie. Dinner meals prepared in the facility and served to residents on different dates consisted of ground beef, vegetables, mashed potatoes; alfredo pasta, vegetables, salad, cookies, juice; ham, vegetables, pasta, juice, apple pie; beef, vegetables, salad, juice, water, jello; fish, rice, vegetables, juice, apple pie; spaghetti with ground beef, salad, oatmeal cream pie, water; ravioli, vegetables, salad, water, ice cream; and fish, vegetables, coleslaw, salad, water, and brownies. Based on record review and interviews conducted the allegation that staff do not meet dietary needs is deemed Unsubstantiated at this time. Exit interview conducted. No deficiencies noted. Copy of report issued at the time of the visit.the state’s words, verbatim · CDSS document, May 15, 2024 · control 29-AS-20230410085101

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced Annual Required visit and inspection of the facility. Upon arrival, LPA was greeted by Staff 1 (S1) and stated the purpose of the visit. There were five (5) residents in care and one (1) staff on duty. Administrator Inna Lyutko arrived shortly thereafter. Entrance interview conducted: The facility is a one-story Residential Care Facility for the Elderly (RCFE). The facility accepts residents with a dementia diagnosis; has a waiver for three hospice residents; and a fire clearance for six non-ambulatory residents. Currently, there are two residents on hospice residing in the facility. A tour of the physical environment and accommodations were assessed. The following was noted: LPA observed the required posting of the complaint poster, Resident’s Rights. LPA inspected the facility for fire safety, personal accommodations, and food service. First aid kit was observed to be complete. The physical environment was checked for cleanliness and condition. Walls, windows, doors, ceilings, floors and floor coverings were checked. Smoke alarms and carbon monoxide alarms are in good working order. The facility was seen to be in good repair inside and outside. The kitchen area was sufficiently stocked with two-day perishable and seven-day non-perishables. Snacks and beverages are available for Residents in the facility are readily available. LPA observed the kitchen cabinets, refrigerator, stove, and counters are clean. LPA observed the sharps are kept in a locked drawer near the stove. The kitchen trash is a covered container located in the kitchen area. Cleaning agents are kept in a locked cabinet under the kitchen sink. Medications are also kept in a locked cabinet located in the kitchen. Please continue to 809-C, Pg 2. The front yard has paved walkways and tiled walkways and plants. The backyard has a patio with outdoor furniture and an umbrella for shade. The recycling bin, green waste bin, and trash bins are standard bins with flip lids. A locked private staff room is located in the facility near the residents' rooms. The laundry area is part of the locked staff room. The living room and dining area are neat and clean. The facility maintains a comfortable temperature. Hallways, bedroom doors, and walls are in good repair. The facility has six (6) bedrooms for six residents. Each resident’s room has lights and nightstand lamps to provide sufficient lighting. Bedrooms 1, 4, and 5 are private bedrooms with a private bathroom. Bathroom #1 is a shared bathroom with hallway access. The bathrooms have grab bars with easy access into the shower area. Residents participate at will in activities such as but not limited to listening to a pianist, reading materials, coloring, word puzzles, picture puzzles, games, walks around the neighborhood, outings to local eateries, local attractions, concerts, and religious celebrations. The facility also has parties for residents to celebrate birthdays and holidays. All medications have signed and dated written orders from a physician. Residents’ files were reviewed. LPA noted that on file for each resident was the following: Physician’s Reports, Admission Agreements, Medical Assessments, Identification and Emergency information, Appraisals/Needs Service Plan, and Medical Accounting Records (MARs). All staff have been properly associated to the facility. Staff files were reviewed. Administrator/Licensees' certifications are current. Exit interview conducted. No citations were issued. Copy of report issued at the time of the visit.the state’s words, verbatim · CDSS document, May 15, 2024