425802121-11-18-2021-29-AS-KBUY-C92U2V-20211123141235

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 425802121
Report Date: 11/18/2021
Date Signed: 11/18/2021 02:46:25 PM

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
10/02/2020 and conducted by Evaluator Arien Diaz

COMPLAINT CONTROL NUMBER: 29-AS-20201002163634

FACILITY NAME:	VILLA GARDENS		FACILITY NUMBER:	425802121
ADMINISTRATOR:	CASTANIAGA, JANE		FACILITY TYPE:	740
ADDRESS:	1510 CALLE MIRO		TELEPHONE:	(805) 430-8906
CITY:	LOMPOC	STATE: CA	ZIP CODE:	93436
CAPACITY:	6	CENSUS: 3	DATE:	11/18/2021
		UNANNOUNCED	TIME BEGAN:	08:05 AM
MET WITH:	Juanito Fidel Jr.		TIME COMPLETED:	09:00 AM

ALLEGATION(S):

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Facility phone is in disrepair
Staff did not respond to resident's call button
Staff not meeting residents needs

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Diaz conducted a complaint visit to deliver final findings of the complaint investigation conducted by LPA Diaz.

LPA Diaz reviewed facility documents and conducted interviews with staff, residents and family members. LPA interviewed staff on 10/08/2020 at 3:45pm and on 08/10/2021 at 6:28pm, and 6:50pm. LPA interviewed former staff on 08/11/2021 at 10:41am. LPA interviewed residents on 08/11/2021 at 1:23pm and on 8/12/21 at 10:22am. LPA interviewed family members on 08/11/2021 at 1:50pm, 2:10pm and 2:26pm. On the allegation: Facility phone is in disrepair. Administrator stated the facility changed phone carriers from Frontier to Xfinity. While the phone carriers were being changed, the resident families were given all staff cellphone numbers. Frontier could not release the original telephone number to Xfinity. Frontier was turned off from 9/18/20 through 9/20/2020. After 9/20/20 the facility had a different number with Xfinity. The resident’s families were calling the facility and staff cellphone numbers, but Administrator was primarily texting the families back.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kelly Burley	TELEPHONE: (805) 562-0413
LICENSING EVALUATOR NAME: Arien Diaz	TELEPHONE: (747) 230-3890
LICENSING EVALUATOR SIGNATURE:	DATE: 11/18/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2021

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

LIC9099 (FAS) - (06/04)

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Control Number 29-AS-20201002163634

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: 425802121
	VISIT DATE: 11/18/2021

NARRATIVE

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The staff stated, the facility phone has always worked, and staff always answers the phone. 3 out of 3 family members stated they have no issues calling the facility phone to communicate with the staff. 3 out of 3 family members stated the facility staff is always available. 3 out of 3 family members stated they would often call staff cell phones and staff always responded. Based on the data collected form interviews, the allegation Facility phone is in disrepair is deemed unsubstantiated at this time.

On the allegation: Staff did not respond to resident's call button. According to staff, all residents have a bell near their bed, and residents may ring the bell to call the staff. When the resident’s ring their bells, the staff respond within minutes. If bells ring simultaneously, the staff answer but prioritize based on the severity of the resident’s needs. Sometimes residents think the bells are toys and enjoy ringing them, but staff continue to answer their rings and ensure the resident is okay. S1 stated that R1 was often confused and was always ringing the bell, but staff always responded. 2 out of 2 residents stated that when they need something, the staff is there to help. 1 out of 2 residents stated their bell is answered when they ring it. 2 out of 3 family members stated, the staff never leave anyone alone, and the staff are constantly checking residents. 2 out of 3 family members observed the staff to be engaged and playing games with the residents. 1 out of 3 family members observed the residents ringing their bells and staff would assist shortly after the bell was rung. 1 out of 3 family members observed one resident constantly ringing the bell and the staff would always respond. Most of the residents did not talk much, but staff took care of all the residents by making frequent checks. Based on the data collected from interviews, the allegation Staff did not respond to resident's call button is deemed unsubstantiated at this time.

On the allegation: Staff not meeting residents needs. All staff stated, the resident’s needs are being met 24 hours a day. The staff coordinate activities, cook, feed, shower, toilet, provide medication, provide care and reposition residents. All staff stated that the facility is sanitized and kept clean. 2 out of 2 residents stated, the staff offers help and the facility is a good place. 3 out of 3 family members stated, they visit the facility often or sometimes every day. All family members stated that the facility is clean, and the residents are well fed. During Covid in 2020, visits were conducted outside and the residents were happy and healthy. All family members stated the staff are attentive and provide the residents with care, and dignity. All family members stated, they are satisfied with facility. Based on the data collected from interviews, the allegation Staff not meeting residents needs is deemed unsubstantiated at this time.

Exit interview, report given.

SUPERVISOR'S NAME: Kelly Burley	TELEPHONE: (805) 562-0413
LICENSING EVALUATOR NAME: Arien Diaz	TELEPHONE: (747) 230-3890
LICENSING EVALUATOR SIGNATURE:	DATE: 11/18/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2021

LIC9099 (FAS) - (06/04)

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