Inspection Reports for
Villa Bernardo

CA, 92029

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 2.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

43% better than California average
California average: 4 deficiencies/year

Deficiencies per year

8 6 4 2 0
2023
2024
2025
2026

Census

Latest occupancy rate 100% occupied

Based on a February 2026 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy over time

3 6 9 12 15 Jun 2023 Jun 2024 Jul 2024 Sep 2025 Feb 2026

Inspection Report

Complaint Investigation
Census: 10 Capacity: 10 Deficiencies: 0 Date: Feb 10, 2026

Visit Reason
An unannounced visit was conducted to investigate a complaint alleging that staff would not release residents' paperwork to an authorized representative.

Complaint Details
The complaint alleged that staff would not release Resident #1's paperwork to an authorized representative. The allegation was found to be unfounded after interviews and records review confirmed the requester was not authorized.
Findings
The investigation found that the allegation was unfounded because the individual requesting records was not the authorized representative but worked under a referral agency for senior care. Records confirmed the conservator on file was the authorized representative.

Report Facts
Capacity: 10 Census: 10

Employees mentioned
NameTitleContext
Janira ArreolaLicensing Program AnalystConducted the complaint investigation visit
Rommel AbedozaStaffMet with Licensing Program Analyst during the visit
Zayden ChenAdministrator and LicenseeSpoke with Licensing Program Analyst by phone during the visit

Inspection Report

Complaint Investigation
Census: 10 Capacity: 10 Deficiencies: 1 Date: Sep 25, 2025

Visit Reason
An unannounced complaint investigation visit was conducted due to an allegation of neglect/lack of care and supervision resulting in hospitalization of a resident.

Complaint Details
The complaint was substantiated. It involved neglect/lack of care and supervision that resulted in hospitalization of Resident #1. Evidence included medical records, staff interviews, and hospital photographs. An immediate civil penalty of $500 was assessed, with additional penalties pending review.
Findings
The investigation substantiated the allegation that Resident #1 developed an open wound with maggots due to neglect by facility staff. The facility failed to develop a care plan or arrange timely medical attention for the resident, posing an immediate health and safety risk.

Deficiencies (1)
Failure to develop a plan for incidental medical and dental care and to arrange timely medical attention for Resident #1's feet.
Report Facts
Capacity: 10 Census: 10 Civil penalty amount: 500 Plan of Correction Due Date: Sep 26, 2025

Employees mentioned
NameTitleContext
Janira ArreolaLicensing Program AnalystConducted the complaint investigation visit and authored the report
Carolyn TubaLicensing Program ManagerOversaw the complaint investigation
Rommel AbedozaStaffMet with Licensing Program Analyst during investigation
Zayden ChenLicenseeDiscussed plan of correction and notified of findings
Lynn DrummondAdministratorInformed of investigation findings and discussed plan of correction

Inspection Report

Complaint Investigation
Census: 10 Capacity: 10 Deficiencies: 1 Date: Sep 25, 2025

Visit Reason
An unannounced complaint investigation visit was conducted due to an allegation of neglect/lack of care and supervision resulting in hospitalization of a resident.

Complaint Details
The complaint was substantiated. It involved neglect/lack of care and supervision that resulted in hospitalization of Resident #1 due to an open wound with maggots. An immediate civil penalty of $500 was assessed, with additional penalties under review.
Findings
The investigation substantiated the allegation that Resident #1 developed an open wound with maggots due to neglect by facility staff. The facility failed to develop or maintain a care plan for the resident and did not provide timely medical attention, resulting in serious injury and hospitalization.

Deficiencies (1)
Failure to develop a plan for incidental medical and dental care and to arrange for timely medical attention for Resident #1's foot condition.
Report Facts
Capacity: 10 Census: 10 Civil penalty: 500

Employees mentioned
NameTitleContext
Janira ArreolaLicensing Program AnalystConducted the complaint investigation visit
Rommel AbedozaStaffMet with during investigation
Tess DeraferaAdministratorFacility administrator named in report
Zayden ChenLicenseeLicensee involved in plan of correction discussion
Lynn DrummondAdministratorSpoke with investigator by phone and involved in plan of correction discussion

Inspection Report

Census: 9 Capacity: 10 Deficiencies: 2 Date: Jul 18, 2024

Visit Reason
An unannounced visit was conducted by Licensing Program Analyst Janira Arreola for an unrelated matter, including a health and safety check on facility residents and review of staff.

Findings
Deficiencies were observed including unauthorized use of video monitors with audio in residents' private rooms and presence of a staff member not associated with the facility. Civil penalties totaling $500 were cited.

Deficiencies (2)
Use of video monitors with audio capabilities in residents' private rooms, violating privacy rights.
Staff member present who was not associated with the facility, posing immediate health, safety, or personal rights risk.
Report Facts
Civil penalty amount: 500 Number of video monitors observed: 2 Plan of Correction due date: Jul 25, 2024 Plan of Correction due date: Jul 19, 2024

Employees mentioned
NameTitleContext
Janira ArreolaLicensing Program AnalystConducted the unannounced visit and documented deficiencies.
Odette DeraferaHouse ManagerMet with Licensing Program Analyst during the visit and involved in plan of correction.
Tess DeraferaAdministrator/DirectorNamed as facility administrator/director.

Inspection Report

Census: 9 Capacity: 10 Deficiencies: 2 Date: Jul 18, 2024

Visit Reason
An unannounced visit was conducted by Licensing Program Analyst Janira Arreola for case management and health checks, during which unrelated deficiencies were documented.

Findings
Deficiencies included the unauthorized use of video monitors with audio in residents' private rooms and the presence of a staff member not associated with the facility. Civil penalties totaling $500 were cited.

Deficiencies (2)
Use of video monitors with audio capabilities in residents' private rooms, which is not permitted and poses a risk to residents' privacy and safety.
Presence of a staff member not associated with the facility, posing an immediate health, safety, or personal rights risk to residents.
Report Facts
Civil penalty amount: 500 Civil penalty rate: 100 Civil penalty duration: 5

Employees mentioned
NameTitleContext
Janira ArreolaLicensing Program AnalystConducted the unannounced visit and documented deficiencies.
Odette DeraferaHouse ManagerMet with Licensing Program Analyst during the visit and agreed to plans of correction.

Inspection Report

Annual Inspection
Census: 9 Capacity: 10 Deficiencies: 3 Date: Jun 17, 2024

Visit Reason
An unannounced visit was made for the purpose of conducting a 1 year required visit/annual inspection of the facility.

Findings
The facility was found generally clean and orderly with proper furniture and operable smoke and carbon monoxide detectors. However, deficiencies were cited for failure to conduct quarterly emergency disaster drills and for having a staff member not associated with the facility despite proper fingerprint clearance. The facility also had unpaid annual fees as of the inspection date.

Deficiencies (3)
No emergency disaster drill conducted within the last quarter as required.
Staff member #1 was not associated with the facility despite having proper fingerprint clearance.
Staff member #1 was not associated with the facility prior to working there, posing a potential health, safety or personal rights risk.
Report Facts
Residents receiving hospice services: 4 Staff present: 3 Resident bedrooms: 10 Bathrooms: 3 Perishable food supply: 2 Non-perishable food supply: 7

Employees mentioned
NameTitleContext
Gerald MaldaCaregiverMet with Licensing Program Analyst during inspection and named in exit interview
Javina GeorgeLicensing Program AnalystConducted the inspection and authored the report
Tricia DanielsonLicensing Program ManagerNamed as Licensing Program Manager and Supervisor
Anthony PerezSupervisorNamed as Supervisor in deficiency section

Inspection Report

Original Licensing
Census: 9 Capacity: 10 Deficiencies: 0 Date: Jun 14, 2023

Visit Reason
The visit was conducted as a prelicensing inspection for a residential care facility for the elderly seeking a change of ownership and licensing for 10 residents aged 60 and up.

Findings
The facility was inspected and found to have appropriate furnishings, safety measures, and supplies for 10 residents. The fire clearance was approved, safety equipment was operational, and the environment was free of hazards. Residents were observed engaged in activities, and documentation was properly maintained and secured.

Report Facts
Hot water temperature: 109.7 Capacity: 10 Census: 9

Employees mentioned
NameTitleContext
Janira ArreolaLicensing Program AnalystConducted the prelicensing inspection
Teresa DeraferaAdministratorFacility administrator present during inspection
Zayden ChenApplicantApplicant seeking change of ownership

Inspection Report

Original Licensing
Census: 9 Capacity: 10 Deficiencies: 0 Date: Jun 14, 2023

Visit Reason
The inspection visit was conducted as a prelicensing inspection for a residential care facility for the elderly seeking a change of ownership with a capacity for 10 residents.

Findings
The facility was found to be in compliance with requirements including appropriate furnishings, safety measures such as fire clearance approval, working smoke alarms and carbon monoxide detectors, functional laundry and kitchen facilities, and availability of hygiene and personal care supplies. Residents were observed engaged in activities and the environment was free of hazards.

Report Facts
Hot water temperature: 109.7

Employees mentioned
NameTitleContext
Janira ArreolaLicensing Program AnalystConducted the prelicensing inspection visit
Teresa DeraferaAdministratorFacility administrator present during the inspection
Zayden ChenApplicantApplicant seeking change of ownership
Joel EsquivelSupervisorSupervisor overseeing the licensing evaluation

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