Villa Socorro

Type of visit: Required - 1 Year

On June 12, 2026, Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced required visit using the CARE Inspection Tool. LPA was greeted by staff and granted entry after stating the purpose of the visit. Staff contacted Administrator and Administrator Clemencia Atencio arrived shortly after and was available to assist with the facility inspection. The facility is licensed for six (6) non-ambulatory residents with approved hospice waiver for six (6) residents. Currently, there are four (4) Hospice residents present during today’s visit. This is a single story home with attached garage facility. The facility has six resident bedrooms, seven bathrooms, one staff room and one staff office. LPA conducted a tour of the physical plant accompanied by Administrator Atencio, and the following was observed: There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the client's personal belongings was observed. Bathrooms were operational with water temperature measured between 109.5 to 115.3 degrees F. A comfortable temperature of 78 degrees F. was maintained in the facility. LPA observed the facility to be furnished at the time of the visit. Storage areas for cleaning supplies and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. Facility has three fire extinguishers which were fully charged and mounted. A review of the Medication Records Administration (MAR) was conducted, and LPA observed the records are in compliance. CONTINUED ON 809C During the visit, LPA observed the facility's infection control practices. LPA observed screening and sign in protocols for visitors and sanitizing stations in common areas and restrooms. LPA observed the facility has supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. LPA observed First Aid Kit was maintained. The last fire drill was conducted on June 4, 2026. The facility tested and had operational smoke & carbon monoxide detectors centrally wired in bedrooms and common areas. The facility has current liability insurance on file effective 8/25/2025- 8/25/2026. A review of six residents (R1-R6) service files and three staff (S1-S3) personnel files revealed to be complete. The facility has the current administrator's certification on file for Clemencia Atencio # 7035386740 - Expiration 04/19/2027. No deficiencies during this inspection visit. An exit interview was conducted with Administrator Clemencia Atencio, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Jun 12, 2026

Type of visit: Required - 1 Year

On April 17, 2025, Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced required Annual visit using the CARE Inspection Tool. LPA Tirre was greeted by staff and granted entry after stating the purpose of the visit. Administrator (AD) Clemencia Atencio arrived shortly after to help assist with the facility inspection on today's date. The facility is licensed for six (6) non-ambulatory residents, one (1) bedridden with approved hospice waiver for six (6) residents. Currently, there are two (2) Hospice residents present during today’s visit. This is a single story home with attached garage facility. The facility has seven bedrooms (six private resident bedrooms and one staff room), six full bathrooms and one half bathroom. At around 7:56 AM, LPA conducted a tour of the physical plant accompanied by Administrator Atencio, and the following was observed: There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the client's personal belongings was observed. Bed linens, comforters, and bath towels were available during the visit. Bathrooms were operational with water temperature measured between 109.5 to 116.6 degrees F. A comfortable temperature of 73 degrees F. was maintained in the facility. LPA observed the facility to be furnished at the time of the visit. Storage areas for toxins and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. Facility has emergency supply of food and water. Fire extinguishers were mounted and was fully charged. Facility has three fire extinguishers. A review of the Medication Records Administration (MAR) was conducted, and LPA observed the records are in compliance. CONTINUED ON 809C During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. LPA observed the facility has supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. LPA observed First Aid Kit was maintained. A working landline phone was operational. The last fire drill was conducted on April 14, 2025. The facility had operational smoke and carbon monoxide in bedrooms and common areas. The facility has current liability insurance on file effective 8/25/2024 – 8/25/2025. The facility is current on Community Care Licensing annual dues. A review of six residents (R1-R6) service files and four staff (S1-S4) personnel files revealed to be complete. The facility has the current administrator's certification on file for Clemencia Atencio # 6034464740 - Expiration 04/19/2025. No deficiencies during this inspection visit. An exit interview was conducted with Administrator Clemencia Atencio, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Apr 17, 2025

Type of visit: Prelicensing

Licensing Program Analysts (LPAs) Joseph Alejandre and Edward Kim conducted an announced visit to the facility to conduct the pre-licensing inspection. LPAs met with Applicant Christina Atencio and toured the facility. An initial application to operate a Residential Care Facility for the Elderly (RCFE) was submitted to CCL on December 18, 2023. The facility is to have a capacity of 6, of which 5 can be nonambulatory and 1 bedridden. Applicant has requested a hospice waiver for 6 residents. Facility phone number 424-271-9350. LPAs observed the following. Structure: The facility is a one story house with an attached 2 car garage with 7 bedrooms (1 is for staff), 7 full bathrooms, 1 half bathroom with no shower, 1 office (no closet), dining room, a kitchen and living room with a screened fireplace. There are 4 exits, one exit door in the kitchen, one in the hallway outside of bedroom 7, the front door and the exit in bedroom 1 which is approved for 1 bedridden resident. Air/Heating: Central air/heating system installed with a central panel to control entire house. Resident Bedrooms: There are 6 Resident Bedrooms and each bedroom is private. The bedrooms are spacious and will easily accommodate the residents' belongings. All resident rooms had the required furnishings. Bedrooms Staff: Bedroom 5 is designated as the staff bedroom. Bathrooms: All bathrooms have a working toilet, wash basin and walk in shower, except for bathroom 8 which has no shower. All bathrooms are clean and operational. Linens & Hygiene Supplies: Adequate supply of linen stored in bedrooms. Emergency Phone Numbers, Exit Plan & Menu: Posted & readily available for review an emergency disaster plan with means of exiting and emergency phone numbers listed. Menus posted and available. Menus prepared one week prior and listed for food served for one week. Food Service: There are no residents living in the facility at this time. There is 7-day non-perishable food supply on hand. Smoke Detectors/Carbon Monoxide Detectors: Smoke detectors/carbon monoxide detectors are hardwired and tested operational. There are fire extinguishers mounted on the wall in the kitchen, next to garage entrance, and one next to the resident hallway. All 3 fire extinguishers are fully charged. Appliances: There is one 4 gas burner stove which lights unassisted, 1 oven, microwave oven mounted above the stove, a refrigerator, dishwasher, washer, and dryer. All appliances are clean and operational. Toxins: All cleaning supplies and chemicals are kept in two areas: kitchen cleaning supplies locked under the ktichen sink and all extra cleaning supplies are locked in the garage.. Water Temperature: Hot water was measured in all bathrooms. Hot water measured between 115.8 to 117.6 degrees Fahrenheit. Medications, First-Aid Kit & Book: The first aid kit and the first aid manual are stored in pantry next to the dining room. The first aid kit has all the required elements. Medications will be stored in the pantry next to the dining room. The pantry is kept locked. Resident & Staff Files: The Resident and Staff Records will be kept locked in the pantry next to the dining room. Reading Material, Games, Equipment & Materials: Arts and craft, tablet, and board games are stored in the dining room cabinet. There is a large screen TV mounted in the living room. Fire clearance: Fire Clearance approved by Orange County Fire Authority Inspector Anthony Vasily on March 21, 2024. Component III: Component three waived during visit. Applicant is Licensee/Administrator of other licensed facilities. Applicant was reminded that it is required to notify LPA when admitting their first resident. This notification may be done by phone, email or fax. The applicant has met all pre-licensing requirements. LPA will submit notification to CAB in Sacramento for final review prior to license being issued. Applicant was informed today that the final approval will be processed by CAB (Central Applications Bureau) in Sacramento. Exit interview was conducted and a copy of this report was left with the applicant.the state’s words, verbatim · CDSS document, Apr 10, 2024