Inspection Reports for Villa Sorrento – Torrance
23450 Madison St, Torrance, CA 90505, United States, CA, 90505
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, with many complaint investigations unsubstantiated, indicating generally good compliance. The only serious issue occurred in March 2021, when inspectors substantiated a cockroach infestation that posed a health risk, resulting in one deficiency related to cleanliness. Since then, the facility has shown consistent improvement, with the most recent annual inspection on May 8, 2025, finding no deficiencies and confirming proper infection control and safe conditions. Other complaints about resident rights, medication administration, and environment were investigated and found unsubstantiated. Overall, the facility’s record has improved over time, with recent reports showing no violations.
Deficiencies per Year
4
3
2
1
0
Moderate
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 109
Capacity: 145
Deficiencies: 0
May 8, 2025
Visit Reason
The inspection was an unannounced annual required visit conducted using the CARE Inspection Tool to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to be sanitary, appropriately furnished, and in compliance with regulations. No deficiencies were identified during this inspection visit. Infection control practices, physical plant conditions, and documentation were all found to be in order.
Report Facts
Hospice residents approved: 15
Hospice residents present: 5
Resident bedrooms: 108
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Carla Chan | Executive Director | Met with Licensing Program Analyst during inspection and named in report. |
| Ernand Dabuet | Licensing Program Analyst | Conducted the inspection visit. |
| Janae Hammond | Licensing Program Manager | Named in report as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 109
Capacity: 145
Deficiencies: 0
Jan 29, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted due to an allegation that the facility was overcharging residents for rent.
Findings
The investigation reviewed admission agreements, billing statements, and interviewed staff and residents. It was found that residents were not charged more than the amount payable for basic services according to the Non-Medical Out-Of-Home Care Payment Standard. The allegation was unsubstantiated due to lack of evidence supporting the claim.
Complaint Details
The complaint alleged that the facility was charging residents over the SSI/SSP amount for rent. After reviewing documents and interviewing staff and residents, the department found no evidence to support the allegation and deemed it unsubstantiated.
Report Facts
Census: 109
Total Capacity: 145
Basic Services Monthly Rate: 1398.07
Rate Change for 2025: 1420.07
Residents Interviewed: 4
Residents Responsible Party Interviewed: 2
Staff Interviewed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Carla Chan | Executive Director | Met with during the investigation and exit interview |
| Wendy Gibbs | Licensing Program Analyst | Conducted the complaint investigation |
| Eva M Alvarez | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Census: 113
Capacity: 145
Deficiencies: 0
Dec 16, 2024
Visit Reason
The department conducted an unannounced Case Management visit to deliver a Decision and Order for a staff exclusion.
Findings
No deficiencies were observed or cited during the visit. The department confirmed that excluded staff Jonathan Menlo was not present or working at the facility.
Report Facts
Facility capacity: 145
Census: 113
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Carla Chan | Administrator | Met during the visit and involved in discussion of the Decision and Order |
| Jonathan Menlo | Staff excluded by Decision and Order, prohibited from employment and presence at the facility |
Inspection Report
Complaint Investigation
Census: 103
Capacity: 145
Deficiencies: 0
Dec 10, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations that staff does not ensure the client's room is free of clutter.
Findings
The investigation found that although there were numerous items in the resident's room kept for sentimental reasons, clear paths were maintained and no safety hazards were observed. Staff and residents mostly confirmed that rooms are kept free of clutter. The allegation was unsubstantiated due to insufficient evidence and no deficiencies were issued.
Complaint Details
The complaint alleged that staff does not ensure the client's room is free of clutter. The allegation was unsubstantiated as there was not a preponderance of evidence to prove the violation occurred.
Report Facts
Staff interviewed: 10
Residents interviewed: 10
Residents confirming rooms free of clutter: 9
Residents not knowing: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Felisa Shirley | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Carla Chan | Executive Director | Spoke with Licensing Program Analyst during investigation |
| Trish Morales | Administrative Assistant | Met Licensing Program Analyst and participated in exit interview |
| Stephanie Cifuentes | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 113
Capacity: 145
Deficiencies: 0
Aug 17, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2023-12-14 regarding safeguarding resident's personal property, medication administration according to physician's directions, and adequacy of living accommodations.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Residents and staff interviews, document reviews, and facility tours indicated that personal property was generally safeguarded, medications were administered as prescribed, and living accommodations were comfortable.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to safeguard residents' personal property, improper medication administration, and inadequate living accommodations. Interviews with residents and staff, review of medication administration records, and facility inspection did not support these allegations.
Report Facts
Residents interviewed: 10
Staff interviewed: 7
Medication Administration Records reviewed: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ernand Dabuet | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Carla Chan | Administrator | Facility administrator involved in the investigation |
| Jovan Caday | Facility Manager | Met with Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 113
Capacity: 145
Deficiencies: 0
Jun 19, 2024
Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that staff violated residents' personal rights by installing locks on the outside of their doors.
Findings
The investigation found that locks were placed on residents' doors either by family members or at residents' requests, and facility staff removed the locks prior to the investigation. Interviews and records review did not find sufficient evidence to support the allegation, and the complaint was determined to be unsubstantiated.
Complaint Details
The allegation was that staff violated residents' personal rights by installing locks on the outside of their doors. The investigation included interviews with the administrator, residents, staff, and a witness, as well as a facility tour and records review. It was found that locks were placed by family members or residents themselves, and removed by staff before the visit. The allegation was unsubstantiated due to lack of sufficient evidence.
Report Facts
Capacity: 145
Census: 113
Number of residents interviewed: 9
Number of staff interviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Carla Chan | Administrator | Met with Licensing Program Analyst during investigation and provided statements regarding locks on residents' doors |
| Alfonso Iniguez | Licensing Program Analyst | Conducted the complaint investigation visit |
| Eva M Alvarez | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 106
Capacity: 145
Deficiencies: 0
May 17, 2024
Visit Reason
An unannounced annual visit was conducted to evaluate the facility's compliance with licensing regulations using the full CARE inspection tool.
Findings
The facility was found to be clean, well-maintained, and in good repair with all required furnishings and safety features. No deficiencies were observed or cited during this inspection visit. Infection control practices were properly followed with adequate PPE supplies and posted signage.
Report Facts
Resident rooms inspected: 10
Residents' files reviewed: 7
Residents interviewed: 5
Staff files reviewed: 5
Staff interviewed: 4
Medication records reviewed: 10
Emergency drill date: Apr 16, 2024
Water temperature range: 117.3-119.8
PPE supply duration: 120
Hospice residents approved: 15
Resident bedrooms: 108
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Carla Chan | Administrator | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Wendy Gibbs | Licensing Program Analyst | Conducted the inspection visit |
| Eva M Alvarez | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 107
Capacity: 145
Deficiencies: 0
Mar 28, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted to investigate an allegation that staff did not seek medical attention for a resident in a timely manner.
Findings
The investigation found no evidence to support neglect or lack of care regarding the allegation. Interviews, record reviews, and observations indicated that medical attention was offered promptly and the resident refused evaluation. The allegation was determined to be unsubstantiated.
Complaint Details
The complaint alleged that resident #1 sustained falls on 03/19/24 and 03/21/24, with the latter involving the resident being on the ground for hours with dried blood and the facility failing to seek prompt medical attention. The investigation revealed the resident did not have a second fall on 03/21/24, no dried blood was found, and medical services were contacted for the resident's weakness condition on 03/22/24. The resident refused medical evaluation after the fall. Interviews with staff, administrator, witnesses, and residents supported that staff responded appropriately and the resident was monitored. The allegation was unsubstantiated.
Report Facts
Capacity: 145
Census: 107
Staff monitoring frequency: 4
Number of interviewed residents: 9
Number of interviewed staff: 3
Number of interviewed witnesses: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Carla Chan | Administrator | Met with Licensing Program Analyst during investigation and provided information regarding the allegation |
| Ernand Dabuet | Licensing Program Analyst | Conducted the complaint investigation visit |
| Janae Hammond | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 107
Capacity: 145
Deficiencies: 0
Feb 2, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 2023-12-14 alleging uncomfortable room temperatures, staff communication issues with residents, and lack of menu availability for residents.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Temperatures were observed to be maintained at comfortable levels, staff were able to communicate effectively with residents, and menus were available and posted for residents. No deficiencies were cited during the visit.
Complaint Details
The complaint included three allegations: 1) The facility does not provide comfortable room temperatures; 2) The facility staff does not have the ability to communicate with residents; 3) The facility does not make menu available for review by the residents. All allegations were found to be unsubstantiated after investigation.
Report Facts
Capacity: 145
Census: 107
Thermostat settings: 72
Thermostat settings: 74
Thermostat settings: 76
Thermostat settings: 76
Thermostat settings: 73
Thermostat settings: 76
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Carla Chan | Executive Director | Met with Licensing Program Analyst during investigation and exit interview |
| Wendy Gibbs | Licensing Program Analyst | Conducted the complaint investigation visit |
Inspection Report
Annual Inspection
Census: 111
Capacity: 145
Deficiencies: 0
Oct 21, 2023
Visit Reason
The inspection was an unannounced annual required visit conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations for the facility.
Findings
The facility was found to be sanitary, appropriately furnished, and compliant with Title 22 regulations. No deficiencies were identified during the inspection. Infection control practices, medication administration records, and safety equipment were all found to be in order.
Report Facts
Hospice residents approved: 15
Resident bedrooms: 108
Water temperature range (degrees F): Water temperature ranged from 102.0 to 116.4 degrees F in inspected rooms.
Room temperature range (degrees F): Room temperature ranged from 74 to 77 degrees F in inspected rooms.
Fire & Earthquake Drills date: Jul 28, 2023
Residents interviewed: 5
Staff interviewed: 4
Resident service records audited: 6
Staff personnel records audited: 6
PPE supply duration (days): 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ernand Dabuet | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Carmen Fernandez | Supervisor | Met with the Licensing Program Analyst during the inspection and received the exit interview. |
Inspection Report
Complaint Investigation
Census: 116
Capacity: 145
Deficiencies: 0
Aug 17, 2023
Visit Reason
The inspection visit was conducted to investigate a complaint alleging that staff does not provide a safe and healthful environment for a resident while in care.
Findings
The investigation found no evidence to support the allegation that staff failed to provide a safe and healthful environment. Interviews, inspections, and document reviews indicated that pest control chemicals used were safe and no chemical odors or side effects were detected. The allegation was determined to be unsubstantiated.
Complaint Details
The complaint alleged that staff sprayed chemicals under resident #1's room causing side effects such as red eyes and headaches. The complainant was unavailable for further statements. Investigations included interviews with staff and residents, inspection of the resident's room and facility, and review of relevant documents. No evidence was found to support the complaint, and the allegation was unsubstantiated.
Report Facts
Facility capacity: 145
Census: 116
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ernand Dabuet | Licensing Program Analyst | Conducted the complaint investigation visit |
| Trish Morales | Assistant Administrator | Met with Licensing Program Analyst during investigation |
| Carla Chan | Administrator | Facility administrator named in report header |
Inspection Report
Complaint Investigation
Census: 116
Capacity: 145
Deficiencies: 0
Jul 27, 2023
Visit Reason
The visit was conducted to investigate a 'Personal Rights' complaint and to perform a health and safety check on residents in care.
Findings
The facility was observed to be operational and in good repair with no signs of distress or abuse among residents. No citations were issued at the time of the visit, and further investigation and analysis of documentation were needed.
Complaint Details
The visit was complaint-related to investigate 'Personal Rights'. The Licensing Program Analyst interviewed the Executive Director and a resident, obtained a police report, and requested pertinent documents. No citations were issued at this time.
Report Facts
Capacity: 145
Census: 116
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Carla Chan | Executive Director | Met with Licensing Program Analyst and interviewed regarding incident |
| Jeremiah Randle | Licensing Program Analyst | Conducted the unannounced visit and investigation |
Inspection Report
Complaint Investigation
Census: 115
Capacity: 145
Deficiencies: 0
Jun 6, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that staff spoke inappropriately to a resident, sprayed an unknown chemical into a resident's room, and stole a resident's belongings.
Findings
Interviews with staff and residents, document reviews, and observations found no sufficient evidence to substantiate the allegations. Staff and residents denied the claims, and the facility was found to provide a safe, respectful environment. The allegations were deemed unsubstantiated and no deficiencies were cited.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included inappropriate staff communication, spraying unknown chemicals causing illness, and theft of resident belongings. Interviews with staff (S1-S3) and residents (R2-R11) denied all allegations. Resident 1 (R1) made contradictory statements. The investigation concluded there was insufficient evidence to prove the allegations.
Report Facts
Capacity: 145
Census: 115
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Bunker | Licensing Program Analyst | Conducted the complaint investigation visit |
| Carla Chan | Administrator | Facility administrator met during investigation |
| Stephanie Cifuentes | Licensing Program Manager | Named in report header and signature |
Inspection Report
Annual Inspection
Census: 93
Capacity: 145
Deficiencies: 0
Aug 8, 2022
Visit Reason
An unannounced annual required visit was conducted with a primary focus on Infection Control measures using the CARE Inspection Tool.
Findings
The facility was found to be sanitary and appropriately furnished with no deficiencies identified. Infection control practices, including screening protocols, PPE supply, and COVID vaccination reviews, were observed and found compliant.
Report Facts
Hospice residents approved: 15
Resident bedrooms: 108
Residents' service files reviewed: 9
Fire drill date: Jun 6, 2022
PPE supply duration: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Carla Chan | Administrator | Met with Licensing Program Analyst during inspection. |
| Ernand Dabuet | Licensing Program Analyst | Conducted the inspection visit. |
| Angela J Kendrick | Licensing Program Manager | Named in report header. |
| Eva M Alvarez | Licensing Program Manager | Named in infection control section of report. |
Inspection Report
Complaint Investigation
Census: 88
Capacity: 145
Deficiencies: 0
Jun 7, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted to address multiple allegations received on 05/09/2022 regarding resident care issues including failure to notify authorized representatives of condition changes, pressure injuries, residents being left in soiled diapers, and insufficient staffing.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Interviews with residents and staff, record reviews, and observations indicated that the allegations were unsubstantiated. The facility was found to have sufficient staffing and appropriate communication practices.
Complaint Details
The complaint investigation addressed allegations that staff did not notify authorized representatives of changes in residents' conditions, residents received pressure injuries, residents were left in soiled diapers, and there was insufficient staffing. The investigation concluded all allegations were unsubstantiated based on interviews, observations, and record reviews.
Report Facts
Capacity: 145
Census: 88
Staffing numbers: 3
Staffing numbers: 5
Pressure injury size: 0.5
Pressure injury size: 0.1
Pressure injury stage: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Troy Agard | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Carla Chan | Administrator | Facility administrator met during investigation |
| Ulysses Coronel | Licensing Program Manager | Oversaw complaint investigation |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 145
Deficiencies: 0
Sep 21, 2021
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that staff sprayed a resident with an unknown chemical and that a resident's mail was being mishandled while in care.
Findings
The investigation included interviews with residents, staff, and the administrator, as well as a review of records and facility tour. No evidence was found to substantiate the allegations; residents and staff denied the claims, and the administrator reported no issues with mail handling or chemical spraying.
Complaint Details
The complaint investigation was unsubstantiated based on interviews and records review. Allegations included staff spraying a resident with chemicals and mishandling of resident mail. No preponderance of evidence was found to prove the alleged violations occurred.
Report Facts
Capacity: 145
Census: 76
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Carla Chan | Administrator | Met with Licensing Program Analyst during investigation and provided information |
| Martessa Brown | Licensing Program Analyst | Conducted the complaint investigation |
| Janae Hammond | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 74
Capacity: 145
Deficiencies: 0
May 20, 2021
Visit Reason
An unannounced annual required visit was conducted with a primary focus on Infection Control measures using the new CARE Inspection Tool.
Findings
The facility was found to be sanitary, appropriately furnished, and compliant with infection control practices. No deficiencies were cited during this inspection visit.
Report Facts
Fire extinguishers: 26
Resident rooms: 109
Non-ambulatory residents allowed: 84
Bedridden residents allowed: 10
Hospice waiver: 10
PPE supply: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Cifuentes | Licensing Program Analyst | Conducted the inspection visit |
| Carla Chan | Administrator | Facility administrator met during the inspection |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 145
Deficiencies: 1
Mar 5, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 06/01/2020, including that the facility is infested with roaches and other concerns about staff assistance, cleanliness, staffing, rough handling, medication mishandling, and unmet resident needs.
Findings
The investigation found sufficient evidence to substantiate the allegation that the facility is infested with roaches, based on resident reports and pest control documentation. All other allegations including failure to assist residents timely, facility cleanliness, insufficient staffing, rough handling of residents, medication mishandling, and failure to meet residents' needs were not substantiated based on interviews with staff and residents and document reviews.
Complaint Details
The complaint investigation was substantiated for the allegation of roach infestation. Other allegations including failure to assist residents timely, facility cleanliness, insufficient staffing, rough handling, medication mishandling, and failure to meet residents' needs were unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to keep the facility clean and safe, resulting in a cockroach infestation posing a potential health risk to residents. | Type B |
Report Facts
Staff interviewed: 5
Residents interviewed: 10
Residents reporting roaches: 7
Capacity: 145
Census: 74
Plan of Correction Due Date: Mar 12, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Carla Chan | Administrator | Facility administrator involved in the investigation and telephonic exit interview |
| Susan Campos | Licensing Program Analyst | Investigator who conducted the complaint investigation |
| Eva M Alvarez | Licensing Program Manager | Manager overseeing the complaint investigation |
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