306004456-2-19-2026-28-AS-KRAZ-DRFTP3-20260219135340

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 306004456
Report Date: 02/19/2026
Date Signed: 02/19/2026 01:54:01 PM

Document Has Been Signed on 02/19/2026 01:54 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

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 LUREN		FACILITY NUMBER:	306004456
ADMINISTRATOR/ DIRECTOR:	BRIAN BUENVIAJE		FACILITY TYPE:	735
ADDRESS:	13749 E. CREWE STREET		TELEPHONE:	(562) 941-3813
CITY:	WHITTIER	STATE: CA	ZIP CODE:	90605
CAPACITY: 62		CENSUS: 42	DATE:	02/19/2026
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:36 AM
MET WITH:	Administrator Brian Buenviaje		TIME VISIT/ INSPECTION COMPLETED:	02:15 PM

NARRATIVE

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Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced Required- 1 year visit. The purpose of the visit was explained to Administrator Brian Buenviaj. The Adult Residential Facility (ARF) is licensed to serve 56 ambulatory and 6 non-ambulatory mentally disabled residents ages 18-59. The facility provides transportation services.

The following were observed/inspected:

Infection Control: The facility has an Infection Control Plan.

Physical Plant/Environment Safety: The facility is composed of 2 single-story buildings and one (1) two-story building, with a total of 30 resident rooms with shared bathrooms, dining hall, medication room, kitchen, laundry room, TV area, 2 offices, recreation room, and outdoor covered patio areas. The kitchen and dining room are located in the middle of the property in a separate building. The facility is equipped with a sprinkler system and smoke detectors. There are fire extinguishers in all hallways and kitchen. Cleaning supplies and toxic substances are inaccessible to clients. Water temperature readings measured between the required 105 - 120 degrees Fahrenheit. The facility maintains emergency food supply and water. The facility has a 1st Aid Kit/Manual consisting of thermometer, tweezers, scissors, antiseptic, bandages, gauze. Hygiene supplies are provided. Exit doors are free of any obstruction and there are no pools or large bodies of water. The facility is currently under cosmetic renovations to upgrade client rooms and common areas.

SEE 809-C

NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Kimberly Ramirez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/19/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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 LUREN	FACILITY NUMBER: 306004456
	VISIT DATE: 02/19/2026

NARRATIVE

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Operational Requirements: Care and supervision to meet the clients’ needs were observed. Special equipment is used by some residents. The facility handles clients’ monies. The Surety Bond expires 08/24/26. The last emergency drill was conducted on 01/20/2026.

Staffing: A total of 16 staff members provide care and supervision to the clients according to staff roster dated 02/19/2026.

Personnel Records/Staff Training: Four (4) staff files were reviewed for criminal background clearance and training. Personnel records have health/TB screenings, 1st Aid/CPR training, and training records. Administrator certificate expires 10/3/27.

Client Rights/Information: Personal rights and Complaint Poster (PUB 475) were observed to be posted.

Client Records/Incident Reports: Four (4) resident files were reviewed. During client record review, it was revealed that C1 was admitted into the facility on 02/18/2011 and proof of C1's recent medical assessment was conducted on 06/15/2015. LPA Ramirez will issue a Type B deficiency based on this record review.

Food Service: Food supply is stored in the kitchen and pantry areas consisting of 2-day perishables, 7-day non-perishables, and emergency food supplies. Kitchen, food preparation area, and storage areas were observed to be clean and sanitary. The facility has emergency water and food supply and snacks on site. One (1) client requires modified diet.

Health Related Services: Clients are assisted with self-administration of prescription and non-prescription medications. Three (3) 30-day supply of centrally stored client medications/records were reviewed and are given according to Physician directions.

Incident Medical and Dental: Client files include Physician Reports and health screenings.

Disaster Preparedness and Emergency Intervention: The facility has an updated Emergency Disaster Plan containing emergency evacuation information. An emergency drill was conducted on 01/20/26, within the last 6 months as required.

Emergency Intervention: No manual restraints or seclusion are used with clients in care.

Per Title 22, deficiencies were cited.

Exit interview conducted with Administrator Brian Buenviaje. A copy of the report and appeal rights were provided.

NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Kimberly Ramirez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/19/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 02/19/2026 01:54 PM - It Cannot Be Edited

Created By: Kimberly Ramirez On 02/19/2026 at 01:12 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: VILLA LUREN	FACILITY NUMBER: 306004456
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/19/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

85068.4(e)

Acceptance and Retention Limitations

(e) The licensee shall ensure that the medical assessment for each client 60 years of age or older is updated at least annually and in accordance with the regulations addressing medical assessments in Residential Care Facilities for the Elderly (RCFE) [California Code of Regulations, Title 22, Sections 87458(b) and (c)]. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, C1 last medical assessment was completed in 2015, the licensee did not comply with the section cited above in 1 out of 42, clients which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/05/2026
	Plan of Correction
1 2 3 4	Licensee will submit a medical assessment for C1 and send via email no later than 3/05/26.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Fernando Fierros
NAME OF LICENSING PROGRAM MANAGER:

	Kimberly Ramirez
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/19/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026

LIC809 (FAS) - (06/04)

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