Westminster Villa

Type of visit: POC

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility to conduct a Plan of Correction visit for deficiencies issued during the required annual inspection that was conducted on July 2, 2026. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Patty Osuna and Assistant Administrator Alexis Jones and discussed the purpose of the visit. Regarding the Type B citation 87411(f). LPA reviewed 1 of 1 staff signed health screening with a record of a TB test dated July 6, 2026. Thus, the citation has been fulfilled. Regarding Type A citation 87309(a)(1). LPA reviewed an in service record that was conducted with staff regarding Chemical Security & Safe Storage in Assisted Living was conducted on July 3, 2026. Thus, the citation has been fulfilled. Regarding Type A citation 87555(b)(21). LPA toured the facility and observed the freezer temperature to be at 0 degrees Fahrenheit and the fridge temperature to be at 40 degrees Fahrenheit. Thus, the citation has been fulfilled. Based on today's observations no citations are being noted per Title 22 Division 6 of the California Code of Regulations. All citations issued during the required annual inspection conducted on July 2, 2026, have been cleared. An exit interview was conducted and a copy of this report was left at the facility along with the POC clearance letters.the state’s words, verbatim · CDSS document, Jul 17, 2026

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Hanna Gough and Fred Arias made an unannounced visit to the facility to conduct the required annual inspection. LPAs were greeted and granted entry by staff. LPAs met with Administrator (AD) Patty Osuna and Assistant Administrator Alexis Jones and discussed the purpose of the visit. The facility is a two-story building with resident bedrooms, bathrooms, activity room, movie room, dining room, kitchen, medication room, staff offices and outdoor courtyard. LPAs observed the medication room to be near the staff offices with locked medication carts. LPAs observed the first aid kit to have all the required components and furnishings. LPAs observed the activities room to have puzzles, markers and craft supplies for resident use. LPAs observed the kitchen to be clean and free of vermin. LPAs observed a two day perishable and seven day non perishable food supply on hand. LPAs observed the refrigerator temperature to be reading at 50 degrees Fahrenheit and the freezer to be read at 10 degrees Fahrenheit. LPAs observed the laundry room to be in use with a working washer and dryer. LPAs observed the housekeeping closet where toxins and chemicals are stored near the medication room to be unlocked and made accessible to residents in care. LPAs observed the resident bedrooms to have all the required components and furnishings. LPAs tested the pull chord system with a staff response time of 6 minutes. LPAs observed the restrooms to be stocked with toilet paper and non slip mats in the shower. LPAs tested the water to be between 109 and 119 degrees Fahrenheit. LPAs observed fire extinguishers charged and with a service date of March 6, 2026, throughout the facility. LPAs observed carbon monoxide detectors on both floors to be operational. LPAs observed 1 of 2 elevators to be non operational that was addressed to be fixed during the pre-licensing visit conducted on May 29, 2026, giving the facility until July 24, 2026, to repair the elevator. LPAs observed the outdoor shaded seating area was free of debris and obstructions. Continue on LIC809C LPAs reviewed staff files and 1 of 6 staff do not have a health screening and TB test on file. LPAs reviewed resident files and 3 of 11 residents do not have completely signed needs and services plans. LPAs reviewed the infection control plan that had not been updated since 2023. LPAs observed the emergency disaster plan only had one relocation site. LPAs reviewed the last fire drill was conducted on June 2, 2026. LPAs reviewed a fire alarm report from Johnson Controls dated June 2, 2026, stating that all fire alarms had passed. LPAs reviewed resident medications and no discrepancies were observed. All staff present are background cleared and associated to the facility. Based on today’s inspection, technical violations and deficiencies are being noted per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report along with LIC809D, 858, 859 and appeal rights were left at the facility.the state’s words, verbatim · CDSS document, Jul 2, 2026

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: Resident sustained a fracture due to lack of care or neglect from staff

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit to deliver findings on an investigation completed by the Department. LPA was greeted and granted entry into the facility by Administrator (AD) Maria P. Osuna. During the course of the investigation, the Department interviewed staff and witnesses as well as reviewed and obtained documentation such as Physician Reports (LIC602), Identification and Emergency Information, Resident Appraisal, Unusual Incident/Injury Report (UIIR), Roster of Facility Residents, and Staff schedule. The Department has investigated the complaint alleging that Resident sustained a fracture due to lack of care or neglect from staff. Resident 1 (R1) was admitted to the facility on December 14, 2021. R1’s Physician Report dated May 23, 2024, lists R1 as having a diagnosis of Hypertension. During the interviews with individuals five of eight interviewed denied the allegation. During the investigation LPA reviewed documents including the Physician report for R1. Per Physician report, R1 is ambulatory. CONTINUED ON LIC9099-C... Unsubstantiated LPA reviewed the UIIR dated January 18, 2026, for R1. Per UIIR, on January 18, 2026, R1 was taken to the hospital due to having a fall while jumping up and down the stairs. The Department also reviewed the UCI Health Fountain Valley Medical Records dated January 18, 2026, for R1. Per Medical Records, R1 reported that he missed the last step while walking downstairs and sustained a femoral neck fracture. During the interviews with R1’s Physician’s Assistant (PA) it was reported that R1’s care plan had been established in 2021 and remains in place. Per PA, R1 was nonambulatory in 2021 but became ambulatory and independent after regaining mobility following a successful knee surgery in 2022. Per PA, R1 is not a fall risk. The PA reported that an assisted device was recommended; but not required. During the interviews with residents R1 stated that the fall was an accident and reported that he chose to use the stairs based on personal preference. R3 and R4 stated that the residents have not sustained a fracture due to lack of care and/or supervision from staff. During the interviews with staff, S1-S2 reported that R1 did not sustain a fracture due to lack of care and supervision. Based on the information gathered during the investigation and review of documents obtained, LPA is unable to ascertain if the allegation occurred as reported due to insufficient evidence. Therefore, the allegation has been deemed to be UNSUBSTANTIATED. LPA Ramirez conducted an exit interview with AD Osuna, and a copy of this report was provided to the facility. Based on the evidence gathered, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. The facility is cited per Title 22, Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report, LIC9099-D, and Appeal Rights were provided. An exit interview was conducted with AD Osuna, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, May 15, 2026 · control 22-AS-20260204150603

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: Jun 15, 2026

87303 Maintenance and Operation (a)The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance 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: During the visit on 2/5/26, 5/8/26 and 5/15/26 LPA tour the facility and observed that the main elevator next to the front desk is broken. This poses a potential health, safety, and personal rights risk to people in care.the state’s words, verbatim · CDSS document, May 15, 2026

Plan of correction: Per AD, the elevator will be replace in Mid June. Licensee to email LPA documentation confirming the elevator repair has been completed.

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr made an unannounced case management visit for the purpose of conducting a health and safety inspection. LPA was greeted and granted entry by Administrator (AD) Maria P Osuna. LPA explained the reason for the visit. LPA conducted a case management visit to follow up on self reported Usual Incident/Injury Report (UIIR) dated April 6, 2026. Per UIIR on April 5, 2026, Resident 1 (R1) passed away. LPA and facility representative conducted a toured of the facility and observed the facility has electricity, water, and gas. Water temperature tested at 106.8 degrees Fahrenheit. Resident bedrooms were observed to have the required furnishings. Certificate of liability insurance was observed to be current. The kitchen was observed to be clean and organized and a 2-day supply of perishable and a 7-day supply of non-perishable food was observed. Medications are kept locked in a cabinet in the Medication Room. Knives are kept locked in the kitchen. All and any toxic chemicals, cleaning solutions, laundry toxins, and disinfects were observed to be inaccessible to Residents. Based on observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with facility representative and a copy of this report was provided at the time of exit.the state’s words, verbatim · CDSS document, Apr 7, 2026

Allegation investigated: Staff do not intervene when a resident cusses at another resident

An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez. LPA met with Licensee Representative Ana Kunz. Complaint alleges Staff did not intervene when a Resident 2 (R2) cusses at Resident 1 (R1). During the course of the investigation interviews were conducted with four facility staff, R1, and R2. Four of four staff denied witnessing or having any knowledge of any cussing or arguing between R1 and R2. One of four staff interviewed added that they spoke to R1, who informed them that R2 cusses at them and they would like to change rooms, which was a surprise because R1 and R2 had shared a room for about a year. R1 was ultimately switched to a vacant room and no further issues were reported. During their interview, R2 stated that they do not yell or scream at R1, however, stated that they have argued with R1 due to R1 becoming upset when R2 watches TV or talks on the phone. R2 stated they informed the Administrator it would be best if they were moved to a different room. (Cont. LIC9099-C) Unsubstantiated During their interview, R1 stated R2 would “put the TV on entirely too loud” and they would tell R2 to turn the volume down and this would lead to R2 yelling at them. Per R1, once facility staff became aware of the incident, they were moved to a vacant room. Due to the allegation being uncorroborated during interviews conducted, the Department is unable to determine if Staff do not intervene when a resident cusses at another resident. Although the above 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 at this time the above allegation is unsubstantiated. An exit interview was conducted and copy of this report was provided at the end of the inspection.the state’s words, verbatim · CDSS document, Jan 7, 2026 · control 22-AS-20230627084653

Allegation investigated: Staff do not ensure that resident’s hygiene needs are met. Staff did not ensure that the faucets used by residents for personal care are delivering hot water.

An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez. LPA met with Licensee Representative Ana Kunz. Regarding the allegation, Staff do not ensure that resident's hygiene needs are met, the following was revealed: It is alleged staff did not ensure Resident 1’s (R1’s) hygiene needs were met due to only being bathed once a month. During the course of the investigation, interviews were conducted with seven facility residents and two staff. Four of seven residents stated they do not require assistance with Activities of Daily Living (ADLs), including showering and they are able to shower as needed at their own discretion. Two of seven residents stated they require staff assistance with ADLs, including showering, and staff ensure their hygiene needs are met. One of seven residents was unable to confirm or deny the allegation. Two of two staff denied the allegation and stated all facility residents requiring assistance with showers are assisted with a shower two to three times a week and residents that are able to shower independently can do so at their own discretion. (Cont. LIC9099-C) Unsubstantiated R1 no longer resides at the facility. LPA attempted to reach R1 by phone on three separate occasions, however, R1 could not be reached to confirm or deny the allegation. Regarding the allegation, Staff did not ensure that the faucets used by residents for personal care are delivering hot water, the following was revealed: It is alleged the faucet used by R1 for personal care was not delivering hot water. During the course of the investigation, interviews were conducted with seven facility residents and two staff. Six of seven residents denied the allegation and stated the faucets in the bathrooms located in their bedrooms have always delivered hot water and continue delivering hot water. One of seven residents was unable to confirm or deny allegation. Two of two staff denied the allegation and stated faucets used by residents for personal care have always delivered hot water and continue delivering hot water. R1 no longer resides at the facility. LPA attempted to reach R1 by phone on three separate occasions, however, R1 could not be reached to confirm or deny allegation. LPA tested the water temperature in select resident bathrooms and the water temperature tested between 106.3-120.2 degrees Fahrenheit. Based on water temperature reading and due to the allegations being uncorroborated during interviews conducted, the Department is unable to determine if Staff do not ensure that resident’s hygiene needs are met or if Staff did not ensure that the faucets used by residents for personal care are delivering hot water. Although the above allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore at this time the above allegations are unsubstantiated. An exit interview was conducted and copy of this report was provided at the end of the inspection.the state’s words, verbatim · CDSS document, Jan 7, 2026 · control 22-AS-20250205153216

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr made an unannounced case management visit in conjunction with Unusual Incident/Injury Report (UIIR) dated November 5, 2025. LPA was greeted and granted entry by Administrator (AD) Maria P Osuna. LPA explained the reason for the visit. Per UIIR on November 4, 2025, Resident 1 (R1) left the facility and did not return. Per UIIR, on November 4, 2025, at 3:57 p.m. a missing person report was filed with the Garden Grove Police Department. Per UIIR, R1's Conservator and Primary Care Physician were notified. During today's visit LPA reviewed the Physician Report (LIC602) dated October 7, 2025, for R1. Per Physician Report R1 is able to leave the facility unassisted. During the course of the interviews AD stated that R1 had no prior elopement history. Per AD, on November 8, 2025, R1 retuned to the facility. AD reported that on November 8, 2025, R1 was sent out to the Hospital and stated that as today R1 has not been discharge to Westminster Villa. A Health and Safety inspection was conducted, and LPA Ramirez observed no Health and Safety concerns during today's visit. Based on observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with AD Osuna and a copy of this report was provided at the time of exit.the state’s words, verbatim · CDSS document, Nov 10, 2025

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr made an unannounced case management visit in conjunction with Unusual Incident/Injury Report (UIIR) dated October 30, 2025. LPA was greeted and granted entry by Administrator (AD) Maria P Osuna. LPA explained the reason for the visit. Per UIIR on October 29, 2025, Resident 1 (R1) left the facility and did not return. Per UIIR, on October 30, 2025, at 6:34 a.m. a missing person report was filed with the Garden Grove Police Department. Per UIIR, R1's Primary Care Physician was notified. During today's visit LPA reviewed the Physician Report (LIC602) dated June 13, 2025, for R1. Per Physician Report R1 is able to leave the facility unassisted. During the course of the interviews AD stated that R1 had no prior elopement history. A Health and Safety inspection was conducted, and LPA Ramirez observed no Health and Safety concerns during today's visit. Based on observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with AD Osuna and a copy of this report was provided at the time of exit.the state’s words, verbatim · CDSS document, Oct 31, 2025

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr made an unannounced case management visit for the purpose of conducting a health and safety inspection. LPA was greeted and granted entry by Administrator (AD) Maria P Osuna. LPA explained the reason for the visit. LPA conducted a case management visit to follow up on self reported Usual Incident/Injury Report (UIIR) dated July 31, 2025. Per UIIR on July 31,2025 Resident 1 (R1) passed away. LPA and facility representative conducted a toured of the facility and observed the facility has electricity, water, and gas. Water temperature tested at 108.3 degrees Fahrenheit. Resident bedrooms were observed to have the required furnishings. Certificate of liability insurance was observed to be current. The kitchen was observed to be clean and organized and a 2-day supply of perishable and a 7-day supply of non-perishable food was observed. Medications are kept locked in a cabinet in the Medication Room. Knives are kept locked in the kitchen. All and any toxic chemicals, cleaning solutions, laundry toxins, and disinfects were observed to be inaccessible to Residents. Based on observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with AD Osuna and a copy of this report was provided at the time of exit.the state’s words, verbatim · CDSS document, Aug 8, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. made an unannounced visit for the purpose of conducting a Required Annual Inspection. LPA met with Administrator (AD) Maria P Osuna and explained the purpose of the inspection. During the inspection, LPA Ramirez and Staff Moncerrat Pasillas conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and observed the following: This is a two-story building, licensed for one hundred non-ambulatory and one hundred ambulatory with a hospice waiver for ten. Evacuation chairs were observed at every stairway. All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets. LPA observed all windows were screened. There are two separate courtyard areas that include shaded sitting areas. LPA observed residents socializing in common areas and resting in their respective bedrooms. LPA also observed residents participating in activities such as bingo and sing along. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested between 110.8 – 111.3 degrees Fahrenheit. LPA observed the facility has an excess of 2-day supply of perishables and a 7-day supply of non-perishable food. Smoke and carbon monoxide detectors tested operational. Fire extinguishers located throughout the facility were observed to be fully charged with service tags dated March 20, 2025. Appliances were all inspected and observed to be operable. Toxic chemicals, cleaning solutions, and disinfectants were observed to be inaccessible to residents. LPA observed that the signal system operates from each resident's bedroom and transmits an auditory signal to the front desk which identifies the specific resident's living unit. CONTINUED ON LIC809-C... Medications were observed to be locked within the medication room. LPA selected ten residents’ Medication Administration Records (MARs) for review and observed medication and medication records to be accurate. LPA reviewed ten resident files and six staff files. LPA interviewed residents and staff present. Based on the observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Administrator Assistant Alexis Jones, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Jul 10, 2025

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Claudia Gutierrez and Eboni Bentley made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPAs met with Assistant Administrator (AAD) Alexis Jones and explained the purpose of the inspection. During the inspection, LPA Gutierrez and Staff Monserrat Pasillas conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and observed the following: This is a two-story building, licensed for one hundred non-ambulatory and one hundred ambulatory with a hospice waiver for ten. Evacuation chairs were observed at every stairway. All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets. LPA observed all windows were screened. There are two separate courtyard areas that include shaded sitting areas. LPA observed residents socializing in common areas and resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested between 106.3 – 117.3 degrees Fahrenheit. LPA observed the facility has an excess of 2-day supply of perishables and a 7-day supply of non-perishable food. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguishers located throughout the facility were observed to be fully charged with service tags dated March 5, 2024. Appliances were all inspected and observed to be operable. Toxic chemicals, cleaning solutions, and disinfectants were observed to be inaccessible to residents. Medication was observed to be locked within the medication room. LPAs selected eleven residents’ medication for review and observed medication and medication records to be accurate. LPAs reviewed eleven resident files and four staff files. Staff files did not contain any documentation for hands-on staff training and AAD was unable to provide LPAs with documentation of hands-on staff training conducted; a Deficiency was cited on today’s date. (LIC809-C) On-the-job training documentation also did not include a statement or notation, made by the trainer, of the content covered in the training; a Deficiency was cited on today’s date. LPAs interviewed ten residents and four staff. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Nov 6, 2024

Allegation investigated: -Staff did not safeguard resident's personal belongings

On today's date, Licensing Program Analyst (LPA) Rosie Quiroz, was greeted and met with Administrator (AD) Patty Osuna and Administrator Assistant (ADA) Alexis Jones for the purpose to deliver findings for a complaint investigation. The initial 10-day visit was completed on 2/28/2024 by LPA Quiroz. During the course of this investigation, LPA Quiroz conducted interviews consisting of staff and residents, reviewed documents including but not limited to Resident Personal Property and Valuables Lists, Physician Reports, identification forms for residents interviewed. It was alleged that "Staff did not safeguard resident's personal belongings." During the course of this investigation,nine of nine interviewees denied allegation of "Facility failed to safeguard resident's property." AD Osuna indicated there was a deep cleaning of facility rooms which occurred approximately around the second week of February 2024, indicating that three residents brough up concerns of missing items, and were immediately replaced by facility on 3/1/2024. CONTINUED ON NEXT PAGE... Unfounded CONTINUED...While conducting interviews, staff and residents were reminded of importance of timely and accurate personal inventory. During 10 day inspection visit conducted on February 28,2024, as LPA Quiroz was walking out of the facility, R1 approached LPA Quiroz stating "I found my watch." LPA Quiroz observed resident to be wearing a watch white in color. LPA Quiroz inquired where R1 had located the watch, R1 replied "My closet." During the course of the investigation, R1 denied missing money, clothes, jewelry, ring and or necklace. Therefore based on the preponderance of evidence gathered through interviews and observations conducted by LPA Quiroz, the allegation that the "Facility failed to safeguard resident's property" is UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. This agency has investigated this complaint. No deficiencies cited during today's visit. An exit interview was conducted with (AD) Patty Osuna and (ADA) Alexis Jones and a copy of this report and LIC 811-Confidential names were provided at exit.the state’s words, verbatim · CDSS document, Jun 6, 2024 · control 22-AS-20240220090108

Type of visit: POC

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch conducted an unannounced visit to the facility for the purpose of verifying the completion of the plan of corrections generated following a complaint investigation conducted on January 19, 2024. A type B citation for failure to meet the requirements of the California Code of Regulations Section 87303(e)(2) after a water heater failure caused an unspecified number of facility residents to be without hot water. During the facility visit, LPA verified the presence of hot water in six different units where hot water was absent during the January 19, 2024 visit. The deficiency cited on January 19, 2024 is therefore cleared. An exit interview was provided and a copy of this report was provided to a facility representative.the state’s words, verbatim · CDSS document, Jan 26, 2024

Allegation investigated: Staff do not ensure hot water is available to residents

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of conducting the initial investigation into the allegation listed above. LPA was greeted and granted entry by front desk staff after introducing himself and stating the purpose of the visit. Administrator Patty Osuna was present to assist the visit and was explained the allegation investigated. LPA conducted an interview with facility administrator who explained that there were known issues with one of the two water heaters in use by the facility. The part needed to make the necessary repairs is stated to have been ordered at this time, but was stated by the vendor to be back-ordered by approximately two weeks. LPA accompanied by facility staff conducted a tour of the physical plant and measured water temperatures in a sample of 18 rooms across the two levels. A total of twelve rooms among these were observed to have no hot water whatsoever at the time of the visit. CONTINUED ON FORM LIC9099-C Substantiated CONTINUED FROM FORM LIC9099 Additionally, seven resident interviews were either conducted or attempted during the tour of the units where hot water temperatures were reviewed. All the residents interviewed confirmed that there had been issues with the hot water approximately since the beginning of the week, on or around January 15, 2024. Regarding the allegation that "Staff do not ensure hot water is available to residents", the following has been concluded: Based on interviews conducted and a tour of the facility's physical plant, it was determined that a significant number of units and residents had no running hot water in the bathroom sinks used for grooming and in the shower. Facility staff states that some residents with no hot water were offered to shower in vacant units with hot water access but adds that many declined. As a result, the allegation is found to be Substantiated, meaning that the preponderance of evidence standard has been met. A Type B citation is issued on the attached form LIC9099-D. An exit interview was conducted and a copy of this report along with appeal rights were provided to a facility representative.the state’s words, verbatim · CDSS document, Jan 18, 2024 · control 22-AS-20240117145341

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(e)(2) · Plan of correction due date: Feb 1, 2024

Per the California Code of Regulations Section 87303(e)(2) "Faucets used by residents for personal care such as shaving and grooming shall deliver hot water." This requirement is not met as evidenced by: Based on observation and interviews conducted at the facility, an unspecified number of units are confirmed to have no access to hot water or limited intermittent access based on the use made in other parts of the facility. This constitutes a potential risk to the health, safety and personal risks of individuals in care.the state’s words, verbatim · CDSS document, Jan 18, 2024

Plan of correction: Licensee has already initiated action to repair the facility's dysfunctional water heater and will confirm that the required repairs have been conducted and hot water service been restored before the plan of correction due date.