Walnut Villa

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced Case Management Visit- Other on 02/03/2026. LPA was greeted by Assistant Administrator Celina Vasquez and explained the purpose of the visit. Case Management findings: On 12/23/2025, this licensing agency sent an email to notify the licensee of outstanding licensing fees in the amount of $ 2,970.00. On 12/31/2025, this licensing agency attempted to contact Administrator Vickie Mickle via telephone however, all attempts were unsuccessful due to the phone number on file being out of service. On 01/07/2026, a second email attempt was sent to an alternate email associated with the facility, however no response was given or payment was made. During today’s visit, LPA Ramirez was able to make contact with alternate Administrator Cynthia Vasquez via telephone. LPA Ramirez advised Administrator Vasquez that there was an outstanding balance of $2,970.00 in licensing fees that have not been paid and have been past due for more than 60 days and these fees must be paid immediately, or the licensee may make arrangements to surrender the license. Administrator Vasquez agreed to contact the licensee and pay these fees immediately. LPA Ramirez confirmed the pin number needed to make the payment online. LPA Ramirez received confirmation of the full balance being paid. Exit interview was conducted. No deficiencies were cited during today's visit. A copy of this report was provided.the state’s words, verbatim · CDSS document, Feb 3, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced annual inspection visit on 11/17/2025 and was greeted by Caregiver Celina Vasquez. LPA Ramirez identified herself and explained the purpose of the visit. The facility is located on a main street and is a single-story dwelling. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Physical Plant and Environment safety: Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to residents, were observed to be inaccessible to residents. LPA Ramirez observed carbon monoxide detectors and smoke alarms in hallways. LPA Ramirez inspected fourteen (14) resident rooms. All resident bedrooms contained required furniture, linens and lighting. LPA Ramirez observed sufficient lighting in rooms#1 & #2 however, LPA Ramirez observed ceiling lights bulbs in bedroom#1 & #2 were not operational. LPA Ramirez will issue a Technical Violation based on this observation. Water temperatures in all grooming and bathing areas were not measured to be within 105 – 120 degrees F. LPA Ramirez tested water temperature in resident bathroom#1 to be 136.6 F degrees. Resident room#2-bathroom water temperature tested at 133.5 F degrees during inspection. LPA Ramirez will issue Type A violation. LPA Ramirez observed grab bars near toilets and inside shower. LPA Ramirez observed no-slip coating in showers. LPA Ramirez observed seated shower chairs in bathrooms. Planned Activities: LPA Ramirez observed board games, magazines, and other activities for residents. Residents Rights-Information: LPA Ramirez observed the following postings in common areas throughout the facility: Complaint Poster (PUB 475), personal rights, and nondiscrimination notice. LPA Ramirez observed facility land line. See 809-C Food Service: LPA Ramirez observed sufficient supply of nonperishable for one week and perishable foods for a minimum of two days in the facility kitchen area. Soaps, detergents, and cleaning compounds were observed to be stored away from food supplies. Freezers and refrigerators were observed to be clean and within temperatures of 0-degree F (-17.7 degree C), and refrigerators with maximum temperature of 40-degree F. (4 degree C). Water temperature in kitchen area was tested above 125 F degrees. Residents are not allowed in this area. LPA Ramirez will issue Technical Violation based on this observation. Commercial fridge located in kitchen was observed to be in disrepair. Staff interviews revealed the fridge was reported to be in disrepair to management and a work order was submitted. LPA Ramirez did not observe food stored in this fridge. LPA Ramirez observed 2 additional refrigerators and a freezer that contained sufficient fresh and frozen foods. LPA Ramirez will issue Technical Violation based on this observation. Disaster Preparedness: The facility has the Emergency Disaster Plan (LIC610D/9 pages) in place. Last documented emergency drills were conducted on 11/10/2025. LPA Ramirez observed facility sketches with exits and emergency exits routes throughout various locations of the facility. LPA Ramirez observed emergency food supply located in kitchen pantry area. Residents with Special Needs: No large bodies of water were observed LPA Ramirez observed signs posted indicating “No smoking - Oxygen in Use” in various locations of the facility. LPA Ramirez observed several oxygen tanks in resident rooms secured in stands. Knives, sharps or other items that could pose a danger to residents with dementia, were observed to be inaccessible. Auditory devices were observed to be in working order. Health Related Services/Incidental Medical Services: The medications are centrally stored in the medication cart and in bubble packs and/or original containers. LPA Ramirez observed Centrally Stored Medication and Destruction Record. The facility provides incidental medical services. Staffing: Administrator Certificate for Celina Vasquez which expires 12/15/2025. Staff employed are over the age of 18 and are fingerprint cleared and associated to the facility. Personnel Records Training: Staff files are maintained at the facility. LPA Ramirez observed required annual training, CPR and First Aid for two (2) out of the two (2) personnel record reviewed. LPA Ramirez observed TB testing results, Health screening, fingerprint clearance and job application for two (2) out of the two (2) personnel record reviewed. Infection Control: Staff are using appropriate hand hygiene and wearing gloves while assisting clients. Staff are cleaning and disinfecting often for high touched surfaces. Facility has an Infection Control Plan in place. See 809-C Operational Requirements: Fire clearance is approved for twenty (20) non-ambulatory residents over the age of 59 years old. Approved for twenty (20) bedridden. This facility may retain no more than ten (10) hospice residents. There were seven (7) residents on hospice during time of inspection. Resident Records/Incident Reports: LPA reviewed resident records for three (3) residents in care. Resident records are maintained at the facility. Admission Agreement, Physician's Report (including T.B and Ambulatory Status), Consent for Medical Treatment, Preplacement Appraisal Information, Resident Pre-Appraisal, Care Plan/Appraisal/Needs and Services Plan, Resident Rights were observed. One (1) deficiency was issued during inspection. Three (3) technical violations were issued. Exit interview was conducted. A copy of this report, 809-D, LIC 9102 and appeals rights was provided.the state’s words, verbatim · CDSS document, Nov 17, 2025

The state marks this report as 8 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Allegation investigated: Staff did not attend to residents in a timely manner Staff did not ensure a sufficient food supply was available at the facility Facility shower room does not deliver hot water for resident's use Staff did not ensure sufficient cleaning supplies were available at the facility to keep the facility clean

Licensing Program Analyst (LPA) Glenn Trueman conducted an unannounced subsequent complaint investigation visit regarding the above allegations. LPA met with Assistant Administrator Celina Vasquez and explained the reason for the visit. The initial visit was conducted on 05/15/25 and included the following: LPA conducted a tour of the facility with Assistant Administrator Celina Vasquez which included kitchen, living room, dining room, front and back side of the facility. Interviews were conducted with Assistant Administrator Celina Vasquez and telephonically with Administrator Cynthia Padeo. Chemical Inventory List was submitted and Food Inventory to be submitted. At today's visit 10/9/2025 Resident's R1- R5 were interviewed , Staff S1- S3 and Assistant Administrator were interviewed. In regards to the allegation Staff did not attend to residents in a timely manner, based on interviews conducted and information gathered 5 of 5 residents all stated that staff provide great timely medical assistance. Said staff are willing to assist them whenever they are called. Unsubstantiated Assistant Administrator Celina Vasquez stated that their main goal is patient advocacy. Feels staff responds in a timely manner. Stated at night they use the pull cord and staff respond quickly. During the day 5 residents on Hospice call for help and they are always assisted. Administrator stated that always 3 on shift and they will respond right away. Sometimes they may say give me a minute, but they will always take care of the residents. Staff S1- S3 said they will respond in a reasonable time frame. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. In regards to the allegation Staff did not ensure a sufficient food supply was available at the facility, based on interviews conducted and tour of the kitchen and food supply on 5/15/25 and 10/9/25 by LPA who observed a sufficient supply of 2 day perishables and 7 day non-perishables which included the following: Milk, juice, vegetables, yogurt, oatmeal, chicken, ground beef, shrimp, fish, hot dogs, corn, lunch meat, pasta, beans, crackers, Jello, eggs and ice cream. Staff S1-S3 stated there is enough food today. Resident's R1- R5 all stated that there is a large supply of food. They get all 3 meals and a snack and can even go back for 2nd's. LPA observed variety of can foods, and dried goods such as lentils, beans, rice, pasta in the pantry. LPA reviewed the following documents: facility menus, and per facility schedule two staff are assigned to the kitchen throughout the week. It should also be noted that the allegation Staff do not ensure there is enough food at the facility for residents Complaint Control # 28-AS-20250123120517 previously had Unsubstantiated finding on 1/30/25. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. In regards to the allegation Facility shower room does not deliver hot water for resident's use, based on interviews conducted and tour of the shower room it was revealed on tours conducted on 5/15/25 and 10/9/25 that there was hot water delivered for residents on both visits. Assistant Administrator Celina Vasquez stated that showers are 2 to 3x a day and there is hot water and no one has complained. Staff S1-S2 said showers are given 2x a week and they do have hot water. Administrator stated they always check and there is always hot and cold water. Resident's R1- R5 said they are assisted with showers each week and there is hot and cold water. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. In regards to the allegation Staff did not ensure sufficient cleaning supplies were available at the facility to keep the facility clean, based on interviews conducted and tour of locked area for chemicals LPA observed on 05/15/25 and 10/9/25 that there was a sufficient supply of chemicals. LPA observed the following: laundry soap, dishwashing liquid, bleach, cleaner with bleach, toilet paper, paper towels and kitchen bags. Resident's R1- R5 all stated that the facility is kept clean. Said they always see staff cleaning and always doing laundry. Stated housekeeping always cleans their room and they have seen them use cleaning sprays. Administrator stated that they always keep chemicals full and also have a Chemicals Inventory List. LPA observed the list which included a surplus amount of cleaning supplies. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED In regards to the allegation Staff did not ensure a comfortable facility temperature was maintained for residents in care, based on interviews conducted and information gathered LPA on the initial visit conducted on 5/15/25 observed that the air conditioning unit was not working. Assistant Administrator confirmed that the air conditioner wasn't working. Staff S1-S3 all stated that the air conditioner had been down previously. 5 of 5 residents acknowledged that the air conditioner was not in use and was inoperable. Tour of facility at today's visit 10/09/25 the air conditioner was operable and the facility maintained a comfortable temperature. Based on LPAs observations and interviews which were conducted record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D.the state’s words, verbatim · CDSS document, Oct 9, 2025 · control 28-AS-20250509120852

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: Oct 16, 2025

Maintenance and Operation The facility shall be clean, safe, sanitary and in good repair at all times. This requirement is not met as evidenced by: Based on interviews and observation the facility failed to be in good repair at all times with the air conditioning unit not working and also facility floorboards lifted and overgrown weeds around the house which poses a potential risk to the persons health, safety, and personal rights of the persons in carethe state’s words, verbatim · CDSS document, Oct 9, 2025

Plan of correction: Facility to have the air conditioning unit and the facility floorboards and overgrown weeds in good repair by the POC due date. Facility has air conditioner operable. Floorboard to be corrected and weeds to

Allegation investigated: Staff do not ensure facility is maintained clean and sanitary

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced complaint investigation visit regarding the above allegations. LPA met with Celina Vasquez and explained the reason for the visit. The investigation consisted of the following: LPA requested resident and staff roster. LPA conducted a tour of the facility with Selena Vasquez. LPA interview 4 residents and 4 staff. LPA requested copy of menu, Nine resident’s physician’s reports. Regarding allegation: Staff do not ensure facility is maintained clean and sanitary. It is alleged facility was not disinfected for a week due to lack of cleaning supplies, and the carpets are dirty. LPA conducted tour of the facility and observed 9 out of 14 rooms with carpets with stains of different sizes from small circle spots to spots of the size of a grapefruit in each room #1,2,3,4,6,7,9,2,13,14. Bathroom #2 was observed with water build up around the shower handle and the soap build up under the grab bar and corners of the shower. (CONTINUED ON LIC 9099C) Substantiated LPA observed housekeeper’s caddy with comet bleach and less than half bottle of Windex, storage area was observed with one gallon of laundry detergent, one Windex bottle, and some bottles of carpet cleaner. Housekeeper showed LPA an additional multipurpose cleaner. Interviews conducted with residents revealed, staff clean residents’ rooms daily. However, they cannot remember when the carpet was clean. Interviews with manager revealed supplies have been purchase as requested by staff. Upon asking the staff if there were any additional cleaning supplies, they stated there weren’t any other cleaning supplies. Per staff they use what they have available to clean. Even though manager may purchase cleaning supplies, at the time of the visit there were no sufficient cleaning supplies to properly clean and disinfect different areas of the facility. Based on LPAs observations and interviews which were conducted record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D. Exit interview was conducted an a copy of this report, LIC9099D, and appeal rights were provided. Freezer was observed with 8 frozen dinners, one bag of hamburger patties, two pounds of ground beef, one turkey, one chicken, 4 containers of ground turkey, one pack of breast chicken, one pack of beef chunk of 1.35 lbs. LPA observed variety of can foods, and dried goods such as lentils, beans, rice, and pasta in the pantry. LPA reviewed the following documents: facility’s three rotating menus, which provides a variety of foods, per facility schedule two staff are assigned to the kitchen throughout the week. Kitchen staff’s training on food preparation were provided on 2014. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview was conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Jan 30, 2025 · control 28-AS-20250123120517

From the deficiency page — Deficiency type: Type B · Section cited: CCR 83033 · Plan of correction due date: Feb 6, 2025

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times... shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidence by: Based on observations licensee did not ensure staff have sufficient cleaning supplies and clean and disinfect all facility areas which poses a potential risk to the health, safety, or personal rights of the persons in care.the state’s words, verbatim · CDSS document, Jan 30, 2025

Plan of correction: Administrator will provide staff with cleaning, sanitation training, will have proper cleaning of residents' rooms carpets, and will ensure that proper cleaning supplies are available at the facility at all times, and submit a copy of training to the department by POC due date: 2/6/25. Administrator purchase bleach and floor cleaning at the time of the visit and place and order multiple purporse cleaner.

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Mary Flores conducted a case management visit during a complaint investigation visit to note additional deficiencies. LPA met with Celina Vasquez and explained the reason for the visit. During the facility tour LPA observed the following deficiencies: Auditory devices in exit doors were observed off when entering the facility and doing the tour of the facility. Facility serves and has residents with dementia. Seven residents' physician's reports were reviewed and 1 resident has a low sodium, 2 residents have a mechanical, and 1 resident has a soft diet. LPA observed food preparation and served for lunch and there was no distinction on the meals served. LPA asked staff in charge if they had any special diets and stated "no." LPA observed several dinner meals in the freezer. LPA observed room #6 being used as a caregiver room. Deficiencies were noted on LIC 809D and a technical advisory was provided per Title 22 Regulations. A copy of this report, LIC 809D, and appeal rights were provided.the state’s words, verbatim · CDSS document, Jan 30, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87555(b)(7) · Plan of correction due date: Feb 6, 2025

87555 General Food Service Requirements (b) The following food service requirements shall apply: (7)Modified diets prescribed by a resident's physician as a medical necessity shall be provided. This requirement is not as evidence by: Based on observations and interviews conducted licensee did not ensure staff were providing meals to the residents based on the diets noted by the physician which poses a potential risk to the persons health, safety, and personal rights of the persons in care.the state’s words, verbatim · CDSS document, Jan 30, 2025

Plan of correction: Administrator will provide training to kitchen staff that covers, special diets, servings, and preparation and will submit a copy to the department by POC due date: 2/6/25.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87705(j) · Plan of correction due date: Feb 6, 2025

87705 Care of Persons with Dementia: (j) The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident. This requirement is not met as evidence by: Based on observations licensee did not ensure staff maintained the auditory devices on at all times which poses a potential risk to the health, safety, or personal rights of the persons in care.the state’s words, verbatim · CDSS document, Jan 30, 2025

Plan of correction: Administrator will provide training to staff on Dementia section 87705 and will provide a copy to the department by POC due date: 2/6/25.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Tena Herrera conducted the required annual inspection. LPA arrived unannounced and met with Celina Vasquez - Administrator and explained the purpose for today’s visit. The facility is licensed to serve 20 Non-Ambulatory Residents, ages 60 and over. Facility may retain 10 hospice and 20 bedridden residents. There are currently 5 Residents using hospice services and 0 bedridden. The Facility is a single-story story building located in Whittier, CA. This is the unit that is in the rear of property. A tour of the facility included: 5 double-resident rooms with shared 1/2 bath, 2 semi-private rooms, 7 private rooms, 2 full bathrooms, living area, dining/activity area, kitchen, pantry, laundry room in detached unit along with storage, and patio area. Infection Control: The facility staff are using appropriate hand hygiene and cleaning/disinfecting throughout the day. Facility has sufficient PPE supplies and has an Infection Control Plan. Operational Requirements: The facility has an approved fire clearance, there is a plan of operation with required Dementia Plan and training, and facility maintains the required liability insurance. Physical Plant & Environment Safety: LPA toured facility, a total of 14 residents’ bedrooms were checked and had the required closet/drawer space to accommodate each resident comfortably available. The resident rooms have signal systems (or residents have pendants) which were tested and operating properly, however, alarm/buzzer on doors that lead to the exterior of facility were not operable (4 resident bedrooms have doors that lead to the exterior), details will be documented on 809-D. There are smoke detectors, carbon monoxide detectors and an emergency sprinkler system throughout the facility that are operable and in compliance. The fire extinguishers were observed throughout the facility and are fully charged. No bodies of water were observed at the facility. There are no security bars or weapons on the premises. Hygiene products are readily available. The hot water temperature was tested and was outside the required range of 105-120 degrees, measuring 132.3-137.8 degrees F, details documented in the 809-D. (Continued on 809-C) Staffing: There appears to be sufficient staffing at all times in the facility. With night staff that is trained and able to assist in care and supervision of the residents in the case of an emergency. Personnel Records-Training: Staff have criminal record clearance, current First-Aid training along with training in postural supports, Alzheimer’s and Dementia, medication assistance, and other ongoing training are documented in personnel files. LPA reviewed 5 staff files with no issues observed. Administrator Celina Vasquez certificate expires on 12/15/25. Resident Records-Incident Reports: Resident files are kept in a secure location and have the following documents in their files - Pre-admission appraisal/Appraisal Needs & Services Plan, Admission Agreements, Identification & Emergency Information and current Physician's Report. LPA reviewed 6 Resident Files with no issues observed. Residents Rights-Information: Residents are provided with telephone and internet at the facility. The facility has the following posters posted throughout the facility: Residents Rights, Complaint Poster, and Ombudsman. Planned Activities: Facility provides scheduled activities and there is sufficient space both indoor and outdoor for activities. Food Service: The kitchen was observed for the ability to prepare and serve food. LPA observed an appropriate food supply of two (2) days of perishables and one week (7 days) of non-perishables. Incidental Medical & Dental: Medication is properly labeled and are centrally stored and are in their original containers. During todays visit LPA observed a medication error, details will be documented on 809-D. Disaster Preparedness: The facility has an Emergency Disaster Plan with contact numbers and at least 2 relocation sites. The last drill was conducted on 8/2024, drills are conducted monthly at facility.. Residents with Special Health Needs: Facility admits residents with dementia and staff files reviewed today all have required training documented. Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiencies observed during the visit will be cited on the 809D. Exit interview held, a copy of the report and appeal rights were provided to Celina Vasquez.the state’s words, verbatim · CDSS document, Aug 26, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Angelica Rea conducted an unannounced visit for the purpose of conducting the Required annual inspection. On today's visit LPA met with Administrator, Celina Vasquez, who assisted with the visit. LPA Rea used the inspection tool, and toured the facility inside and out, reviewed food supply, reviewed staff files, resident files, and reviewed a portion of resident medications. Bedrooms have the required furniture including bedframes, dressers, lamps and chairs. Beds have the required linen and the linen is in good condition. Passageways and exits are free of obstruction. The front and backyard are well maintained. The resident bathroom is clean and have the required grab bars in the shower and near the toilet for non-ambulatory residents. Showers also have non-skid materials. The hot water temperature measured at 118 degrees F. There is a sufficient amount of perishable and non perishable food supply. The facility temperature at the time the visit was comfortable. There is sufficient lighting throughout the facility. There are smoke detectors, and carbon monoxide detectors located throughout the facility, tested and operating. Signal system was tested, and operational. LPA observed infection control signs posted and sufficient PPE supplies. The last fire drill was held on 10/5/23. Per California Code of Regulations, Title 22, and California Health and Safety Code, no deficiencies cited. Exit interview held and a copy of the report provided to Ms.Vasquez.the state’s words, verbatim · CDSS document, Oct 30, 2023