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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 405850354
Report Date: 11/13/2024
Date Signed: 11/14/2024 08:25:09 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/07/2024 and conducted by Evaluator Mark Jeffries
COMPLAINT CONTROL NUMBER: 29-AS-20241107163755
FACILITY NAME:VILLA GARDENSFACILITY NUMBER:
405850354
ADMINISTRATOR:CASTANIAGA, JANELYNFACILITY TYPE:
740
ADDRESS:9385 SANTA CLARA RD.TELEPHONE:
(805) 464-2098
CITY:ATASCADEROSTATE: CAZIP CODE:
93422
CAPACITY:6CENSUS: 3DATE:
11/13/2024
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Licensee, Janelyn CastaniagaTIME COMPLETED:
10:01 AM
ALLEGATION(S):
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Licensee is not ensuring that facility maintains a comfortable temperature for residents is care.
INVESTIGATION FINDINGS:
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 At 8:00am on 11/14/2024, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to address the allegations to this complaint. LPA met with Licensee, Janelyn Castaniaga, announced the reason for the visit. Licensee and LPA conduced a tour of the facility. LPA conducted interviews of staff and residents, collected documentation and issued the final findings below. LPA noted that he temperature at time of visit read 68* (f).
As to the allegation of, “Licensee is not ensuring that facility maintains a comfortable temperature for residents is care.” It was alleged that on 11/07/2024 at approximately 3:45pm, the facility interior temperature was 64 degrees Fahrenheit (*f). It was discovered through observation, reliable witness, and State issued, digital ambient temperature reading device that on 11/07/2024 at approximately 3:45pm, a reliable witness (person with license, or credentials indicating expertise training) (W1) made observations that the facility temperature was cold. At approximately 3:45pm on 11/07/2024, W1 used a State issued digital ambient temperature reading device to read the facilities temperature. W1 stated to LPA that device read 64*(f). W1 stated that 3 of 3 resident rooms were also 64*(f) or less.
CONTINUED on LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Mark Jeffries
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2024
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 29-AS-20241107163755
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: VILLA GARDENS
FACILITY NUMBER: 405850354
VISIT DATE: 11/13/2024
NARRATIVE
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 Based on W1, observations, and State issued digital temperature reading device, there is enough evidence to support the allegation of, “Licensee is not ensuring that facility maintains a comfortable temperature for residents is care.” and is substantiated at this time.

Exit interview, report read, citation issued, appeal rights, and report provided.
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Mark Jeffries
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 29-AS-20241107163755
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: VILLA GARDENS
FACILITY NUMBER: 405850354
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/13/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/28/2024
Section Cited
CCR
87303(b)(1)
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87303 Maintenance and Operation (b) A comfortable temperature for residents shall be maintained at all times. (1) The facility shall heat rooms that residents occupy to a minimum of 68-degree F, (20 degrees C). This requirement was not met by evidence of W1 (reliable witness) recording
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Licensee agrees to document for 2 weeks, of two temperature checks per day at residents desired room temperature. Additionally, Licensee to have all Staff do 1 hour of personal rights training by independent State authorized vendor. Results due back to LPA by 11/28/2024.
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facility livingroom and 3 of 3 residents rooms at a temperature of 64*(f) on 11/07/2024 which poses a potential risk to residents 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.
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Mark Jeffries
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3