<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306004456
Report Date: 03/27/2025
Date Signed: 03/27/2025 03:59:14 PM

Document Has Been Signed on 03/27/2025 03:59 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:VILLA LURENFACILITY NUMBER:
306004456
ADMINISTRATOR/
DIRECTOR:		BRIAN BUENVIAJEFACILITY TYPE:
735
ADDRESS:13749 E. CREWE STREETTELEPHONE:
(562) 941-3813
CITY:WHITTIERSTATE: CAZIP CODE:
90605
CAPACITY: 62CENSUS: 55DATE:
03/27/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:21 AM
MET WITH:Brian Buenviaje, AdministratorTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Galarza 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. However, many of the interior facility resident rooms and common areas have deferred maintenance i.e. wall and ceiling repairs are needed and resident rooms need painting.

Operational Requirements: Care and supervision to meet the clients needs was observed. Special equipment is used by some residents. The facility handles resident's monies. The Surety Bond expires 7/15/25. The last fire inspection was conducted on 11/29/2024 by LA County Fire Department.

NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Noemi Galarza
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/27/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 7
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)
Page: 2 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: VILLA LUREN
FACILITY NUMBER: 306004456
VISIT DATE: 03/27/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Staffing: A total of 13 staff members provide care and supervision to the clients.

Personnel Records/Staff Training: Seven (7) staff files were reviewed for criminal background clearance and training. Personnel records have health/TB screenings, 1st Aid/CPR training, and training records. None of the files had proof of continuous staff training. Staff (S2) main cook does not have a food handling training and some staff files are missing SOC 341 training. Administrator certificate expires 10/3/25.

Client Rights/Information: Personal rights were only observed in files and not posted in public areas.

Client Records/Incident Reports: Eight (8) resident files were reviewed. The majority of files have documents i.e., Physician's Reports that have not been updated since admission date, which in some cases is over 10 years. Licensee is to ensure records are reviewed and updated as necessary for any changes in condition.

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. Some residents require modified diets.

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

Incident Medical and Dental: Resident 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 3/26/25, 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 will be provided by mail and email as a result of technical difficulty.
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Noemi Galarza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025
LIC809 (FAS) - (06/04)
Page: 3 of 7
Document Has Been Signed on 03/27/2025 03:59 PM - It Cannot Be Edited


Created By: Noemi Galarza On 03/27/2025 at 10:29 AM
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: 03/27/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
85087.3(a)
Indoor Activity Space
As a condition of licensure, there shall be common rooms, including a living room, dining room, den or other recreation/activity room, which provide the necessary space and/or separation to promote and facilitate the program of planned activities specified in Section 85079, and to prevent such activities from interfering with other functions.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, the licensee did not comply with the section cited above in that the recreation room is being used as a storage area and no planned activities are in place, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/24/2025
Plan of Correction
1
2
3
4
Administrator agrees to remove all furniture and storage items from the recreation room. Submit picture proof evidence that the recreation room has been cleaned and is equipped with required activity furniture. The licensee shall ensure that planned recreational activities, which include the following, are provided for the clients:

(1) Activities that require group interaction.
Type B
Section Cited
CCR
85079(d)
Activities
In facilities with a licensed capacity of seven or more clients, notices of planned activities shall be posted in a central facility location readily accessible to clients, relatives, and representatives of placement and referral agencies.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, the licensee did not comply with the section cited above in that there is no posted planned activities calendar in the facility because no programming is in place for residents, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/24/2025
Plan of Correction
1
2
3
4
Administrator agreed to post an activity calendar in a central facility location (entrance area) of the facility. Submit a copy of the activity calendars that will be in place the next 2 months. Additionally, submit picture proof evidence that the calendar is posted.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Lisa Hicks
NAME OF LICENSING PROGRAM MANAGER:
Noemi Galarza
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 03/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/27/2025


LIC809 (FAS) - (06/04)
Page: 4 of 7
Document Has Been Signed on 03/27/2025 03:59 PM - It Cannot Be Edited


Created By: Noemi Galarza On 03/27/2025 at 10:58 AM
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: 03/27/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
80012(b)
False Claims
No licensee, officer, or employee of a licensee shall alter a license, or disseminate an altered license.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, the licensee did not comply with the section cited above in that the license posted in the Administrator's office has a tampered effective date. It states effective date is " 3/28/2026"; however, the effective date is 3/28/2012, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/03/2025
Plan of Correction
1
2
3
4
Administrator agreed to remove from the office bulletin board the tampered license. CCL will mail a copy of the license. Submit picture proof evidence that the license is posted.
Type B
Section Cited
CCR
85009(a)
Posting of License

In facilities with a licensed capacity of seven or more, the license shall be posted in a prominent, publicly accessible location in the facility.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, the licensee did not comply with the section cited above by not posting the facility license in a public accessible location; the facility entrance bulletin boards have no required postings i.e., facility license, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/03/2025
Plan of Correction
1
2
3
4
Administrator shall submit a picture showing the license was posted in a public accessible location i.e., front entrance bulletin board.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Lisa Hicks
NAME OF LICENSING PROGRAM MANAGER:
Noemi Galarza
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 03/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/27/2025


LIC809 (FAS) - (06/04)
Page: 5 of 7
Document Has Been Signed on 03/27/2025 03:59 PM - It Cannot Be Edited


Created By: Noemi Galarza On 03/27/2025 at 12:52 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: 03/27/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
85065(e)(1)
Personnel Requirements
The licensee shall ensure that the following personnel requirements are met in the provision of food service: Employment, training and scheduling of food service personnel requirements are met in the provision of food service:

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above in that staff (S2)/main kitchen cook does not have food handling training, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/24/2025
Plan of Correction
1
2
3
4
Administrator agreed to submit a copy of S2's food handling certificate.
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.
Lisa Hicks
NAME OF LICENSING PROGRAM MANAGER:
Noemi Galarza
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 03/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/27/2025


LIC809 (FAS) - (06/04)
Page: 6 of 7
Document Has Been Signed on 03/27/2025 03:59 PM - It Cannot Be Edited


Created By: Noemi Galarza On 03/27/2025 at 03:10 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: 03/27/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
80087(a)
Building and Grounds
(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.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, the licensee did not comply with the section cited above in that 7 out of 18 rooms inspected have major deferred maintenance needs i.e. walls need painting/wall repairs, ceiling drywall is damaged and/or needs plastering & paint, windows have broken blinds, and pest control white powder is not regularly cleaned, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/24/2025
Plan of Correction
1
2
3
4
Administrator agrees to submit picture proof evidence of repairs. If an extension is needed please send an email request by POC due date.
Type B
Section Cited
CCR
80065(f)
Personnel Requirements
(f) All personnel shall be given on-the-job training or shall have related experience which provides knowledge of and skill in the following areas, as appropriate to the job assigned and as evidenced by safe and effective job performance.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above in that all personnel files/records reviewed did not have any staff training documents, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/24/2025
Plan of Correction
1
2
3
4
Administrator agreed to submit a written plan of correction and proof of staff in-service training.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Lisa Hicks
NAME OF LICENSING PROGRAM MANAGER:
Noemi Galarza
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 03/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/27/2025


LIC809 (FAS) - (06/04)
Page: 7 of 7