Inspection Reports for St. Paul‘s Villa
2340 Fourth Avenue, San Diego, CA 92101, CA, 92101
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, with the facility consistently meeting safety, sanitation, and operational standards. Several complaint investigations were unsubstantiated, including allegations related to resident care and infection control. The most recent report from January 22, 2025, was clean with no deficiencies noted. Past visits responding to incidents such as falls and injuries also found no issues. This record shows a stable compliance history with no serious enforcement actions or fines listed in the available reports.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
0 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
Same as California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
56% occupied
Based on a January 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Annual Inspection
Census: 112
Capacity: 200
Deficiencies: 0
Date: Jan 22, 2025
Visit Reason
An unannounced required annual inspection was conducted to evaluate compliance with licensing regulations and facility standards.
Findings
The facility was found to be in compliance with safety, sanitation, and operational standards including adequate supplies, proper medication storage, functional safety equipment, and no hazards observed on premises.
Report Facts
Licensed capacity: 200
Resident census: 112
Hospice waiver capacity: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LaTressa Downing | Executive Director | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Divina Salina | Director of Nursing | Accompanied Licensing Program Analyst during inspection and participated in exit interview |
| Juliana Barfield | Licensing Program Analyst | Conducted the unannounced required annual inspection |
Inspection Report
Complaint Investigation
Census: 107
Capacity: 200
Deficiencies: 0
Date: Dec 19, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2021-05-26 regarding unlawful eviction of a resident and failure to report changes in the resident's condition to the physician.
Complaint Details
The complaint alleged unlawful eviction of Resident #1 and failure to report changes in the resident's condition to the physician. The investigation included facility tour, record reviews, and interviews. The allegations were found unsubstantiated.
Findings
The investigation found that the resident had a history of aggressive behavior and was hospitalized on physician recommendation. Records confirmed the physician was aware of changes in the resident's condition and the facility attempted to coordinate care prior to hospitalization. The allegations were determined to be unsubstantiated due to lack of supporting evidence.
Report Facts
Complaint Control Number: 08-AS-20210526114412
Capacity: 200
Census: 107
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angelica Boyles | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Simon Jacob | Licensing Program Manager | Named in the report as Licensing Program Manager |
| LaTressa Downing | Executive Director | Facility representative met during the investigation and exit interview |
Inspection Report
Census: 108
Capacity: 200
Deficiencies: 0
Date: Aug 29, 2024
Visit Reason
The visit was an unannounced Case Management - Incident inspection conducted in response to two incident reports involving residents submitted by the licensee.
Findings
During the visit, a facility tour, welfare check, record collection, and interviews were conducted. No deficiencies were observed or cited during the visit.
Report Facts
Incident Reports: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LaTressa Downing | Executive Director | Met with during the visit and participated in the exit interview |
| Divina Salinas | Director of Nursing | Met with during the visit and discussed the purpose of the visit |
| Juliana Barfield | Licensing Program Analyst | Conducted the inspection visit |
| Lizzette Tellez | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Census: 112
Capacity: 200
Deficiencies: 0
Date: May 3, 2024
Visit Reason
The visit was an unannounced Case Management Visit conducted in response to a self-reported incident involving a resident's unwitnessed fall and subsequent injury.
Findings
No deficiencies were cited during the visit after investigation, interviews, and record reviews related to the resident's fall and injury.
Report Facts
Resident census: 112
Facility capacity: 200
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Divina Salinas | Director of Nursing | Met with Licensing Program Analyst during the visit and discussed the incident |
| Daniel Pena | Licensing Program Analyst | Conducted the unannounced Case Management Visit |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Census: 110
Capacity: 200
Deficiencies: 0
Date: Mar 29, 2024
Visit Reason
The visit was an unannounced Case Management visit conducted in response to a self-reported incident involving Resident 1 who sustained an unwitnessed injury on 2024-03-21.
Findings
The Licensing Program Analyst conducted interviews, record reviews, and a health and safety check. Resident 1 received four staples for the wound, and no health or safety issues were observed. No deficiencies were cited during the visit.
Report Facts
Staples received by Resident 1: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daniel Pena | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| LaTressa Downing | Executive Director | Met with Licensing Program Analyst during the visit |
Inspection Report
Annual Inspection
Census: 200
Capacity: 200
Deficiencies: 0
Date: Jan 30, 2024
Visit Reason
An unannounced required one-year inspection was conducted to evaluate compliance with licensing regulations and facility operations.
Findings
The inspection found no deficiencies. The facility was observed to be clean, safe, and well-maintained with proper medication storage, adequate staffing, and appropriate resident care and activities.
Report Facts
Hospice waiver capacity: 12
Non-ambulatory resident capacity: 80
Food supply duration: 2
Food supply duration: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the inspection and authored the report |
| LaTressa Downing | Executive Director | Facility representative who accompanied the inspection and received the report |
Inspection Report
Complaint Investigation
Census: 111
Capacity: 200
Deficiencies: 0
Date: Oct 10, 2023
Visit Reason
The inspection was conducted as an unannounced complaint investigation following an allegation that the facility did not take necessary precautions to prevent a scabies outbreak.
Complaint Details
The complaint alleged that two residents were not treated for an infectious disease but had their clothing removed, residents were isolated without family notification, and two residents were isolated without clothing. The investigation found no corroborating evidence and the complaint was unsubstantiated.
Findings
The investigation found that the facility arranged for medical evaluations and treatments for affected residents, followed infectious disease control guidance from the California Department of Public Health, and communicated with families. The allegation was unsubstantiated as there was no evidence to support the claim that necessary precautions were not taken.
Report Facts
Residents in isolation: 51
Residents diagnosed with disease: 19
Residents asymptomatic: 32
Facility capacity: 200
Census: 111
Staff with symptoms: 3
Isolation period: 14
Date complaint received: Oct 5, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daniel Pena | Licensing Program Analyst | Conducted the complaint investigation visit |
| Eleanor Downing | Administrator | Facility administrator who granted entry and participated in exit interview |
| Simon Jacob | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 112
Capacity: 200
Deficiencies: 0
Date: May 24, 2023
Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 2022-03-14 alleging that staff yelled at a resident.
Complaint Details
The complaint alleged that staff yelled at a resident. Interviews and records review revealed a disagreement between resident 1 and staff 1 regarding medication dosage, but no evidence supported rude or disrespectful treatment. Staff 1 was removed from resident 1's care. The allegation was deemed unsubstantiated.
Findings
The investigation included interviews, records review, and facility tour. The allegation that staff yelled at a resident was found to be unsubstantiated based on the preponderance of evidence. No concerns regarding staff-resident interactions were identified.
Report Facts
Complaint Control Number: 08-AS-20220314163959
Estimated Days of Completion: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca A Ruiz | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| LaTressa Downing | Executive Director | Facility representative met during investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 102
Capacity: 200
Deficiencies: 0
Date: Jan 18, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility restricted a resident's access to their physician.
Complaint Details
The complaint alleged that the facility restricted a resident's access to their physician. The investigation found no evidence to substantiate this allegation.
Findings
The investigation included record reviews, interviews, and physical plant tours. It was determined that although the incident may have happened and is valid, there was not a preponderance of evidence to prove it occurred, and the complaint was unsubstantiated.
Report Facts
Capacity: 200
Census: 102
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daniel Pena | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| LaTressa Downing | Administrator | Facility administrator met during the investigation and exit interview |
Inspection Report
Follow-Up
Census: 100
Capacity: 200
Deficiencies: 0
Date: Jul 6, 2022
Visit Reason
The visit was an unannounced case management follow-up on an incident report received regarding an incident between a resident and staff on 2022-05-27.
Findings
No deficiencies were cited or observed during the visit. The Licensing Program Analyst toured the facility, reviewed records, and conducted an exit interview with the administrator.
Report Facts
Incident report date: May 31, 2022
Incident date: May 27, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eleanor Downing | Administrator | Facility administrator met during the visit and involved in exit interview |
| Rebecca A Ruiz | Licensing Program Analyst | Conducted the unannounced case management visit |
Inspection Report
Annual Inspection
Census: 92
Capacity: 200
Deficiencies: 0
Date: Feb 24, 2022
Visit Reason
The inspection was an unannounced Required 1-Year Visit to evaluate the facility's compliance, including review of the COVID-19 Mitigation Plan.
Findings
No deficiencies were cited or observed during the inspection. The Licensing Program Analyst provided technical assistance and evaluated infection control measures including disinfection, testing, vaccination, screening protocols, and PPE use.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eleanor Downing | Administrator | Named as the facility administrator met during the inspection and involved in the exit interview. |
| Rebecca A Ruiz | Licensing Program Analyst | Conducted the inspection and provided technical assistance. |
| Alexandre Vo | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Census: 99
Capacity: 200
Deficiencies: 0
Date: Oct 25, 2021
Visit Reason
An unannounced case management visit was conducted to follow up on multiple incidents, including a resident elopement and two additional incidents reported by the facility.
Findings
No deficiencies were cited during the visit. The Licensing Program Analyst interviewed the Administrator and Director of Nursing and reviewed the facility's Absentee Notification Plan.
Report Facts
Incident dates: Incidents occurred on 2021-10-14, 2021-08-20, and 2021-08-21
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eleanor Downing | Administrator | Met with Licensing Program Analyst during visit and discussed Absentee Notification Plan |
| Rebecca A Ruiz | Licensing Program Analyst | Conducted the unannounced case management visit |
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