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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198601940
Report Date: 08/19/2025
Date Signed: 08/19/2025 03:52:15 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/18/2025 and conducted by Evaluator Kimberly Ramirez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250818133352
FACILITY NAME:VILLA FLORAFACILITY NUMBER:
198601940
ADMINISTRATOR:ROSALINDA BUENVIAJEFACILITY TYPE:
735
ADDRESS:10932 CARMENITA RD.TELEPHONE:
(562) 941-5249
CITY:WHITTIERSTATE: CAZIP CODE:
90605
CAPACITY:34CENSUS: 31DATE:
08/19/2025
UNANNOUNCEDTIME BEGAN:
08:24 AM
MET WITH:House Manager Joel AlonzoTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff did not keep the facility free from bed bugs.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced initial complaint investigation visit on 08/19/2025 regarding the above allegation. During today’s visit, LPA Ramirez was greeted by House Manager-Joel Alonzo and explained the purpose of the visit.

The investigation consisted of the following: LPA Ramirez requested and obtained copies of Resident/Client Roster, Staff#1 - 2 interviews (S1 – S2), Client#1-4 Interviews (C1-C4), Invoice from PalPro Pest Control dated 03/28/2025 & 05/16/2025, and physical plant tour.

SEE 9099-C for continued narrative.
Substantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Kimberly Ramirez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 28-AS-20250818133352
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: VILLA FLORA
FACILITY NUMBER: 198601940
VISIT DATE: 08/19/2025
NARRATIVE
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he investigation revealed the following: regarding the allegation “Staff did not keep the facility free from bed bugs.” It is alleged that facility staff do not keep the facility free from bed bugs. Two (2) out of the two (2) staff interviewed corroborated this allegation. Four (4) out of the four (4) client interviews corroborated this allegation. Staff interviews revealed the facility has had an ongoing beg bug infestation although the facility paid for pest control treatment in the past. Client interviews revealed clients have seen facility staff spray bug repellent and seen staff clean the rooms, but the bed bugs continue to return. During client interviews, C1 revealed seeing bed bugs crawl on C1’s clothing and bed sheets daily. C1 showed LPA Ramirez bites C1 had received because of the bed bug infestation. During facility tour of building#1- client bedroom#104, building#3- client bedroom 301 and 302, LPA Ramirez observed several small, flat insects with a reddish-brown body, about 4-6 millimeters long, crawling on the outside edges of mattress bedding, sheets and pillow. During record review, LPA Ramirez observed invoices from PalPro Pest Control dated 03/28/2025 & 05/16/2025, which revealed on 03/28/2025 the facility was treated for bed bugs in rooms 201 and 104. On 05/16/2025, the facility was again treated for bed bugs in rooms 301 and 302. Notes from pest control treatment on 05/16/2025, noted “high bed bug infestation” in rooms 301 and 302.

Per Title 22, Division 6, Chapter 1, Article 7- Buildings and Grounds- 80087(a)(1)- The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. (1) The licensee shall take measures to keep the facility free of flies and other insects. Based on observations, records reviewed, and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated.

On 07/17/2025, the facility was cited for violation of regulation 80087(a)(1). Due to the repeat violation of the same regulation noted above within 12 months of a prior violation, an immediate civil penalty of $250 per violation has been assessed for one day only. Exit interview was conducted. A copy of this report, 9099-D, LIC 421FC and appeals rights were provided.
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Kimberly Ramirez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 28-AS-20250818133352
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: VILLA FLORA
FACILITY NUMBER: 198601940
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/19/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/20/2025
Section Cited
CCR
80087(a)(1)
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(a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors.(1) The licensee shall take measures to keep the facility free of flies and other insects. This requirement was not met as evidenced by:
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Licensee will outline a plan on how the facility will immediately address the insect infestation is due by 8/20/25. A plan that addresses what future steps will be taken to ensure the facility is free from insects is due by 9/05/25.
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LPA observed insects in client rooms 104, 301 and 302. Although the facility did provided treatment on 5/16/25, the facility has not taken measures in the last 95 days to ensure the facility is free from insects. This poses an immediate risk to the health, safety, or personal rights of persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Kimberly Ramirez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/19/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2025
LIC9099 (FAS) - (06/04)
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