Inspection Reports for Wildwood Canyon Villa Assisted Living and Memory Care
33951 Colorado St, Yucaipa, CA 92399, CA, 92399
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Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 63
Capacity: 130
Deficiencies: 0
Jul 24, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2024-12-05 regarding staff response to call buttons, housekeeping services, facility sanitation, odors, and staff training.
Findings
The investigation found no evidence to corroborate any of the allegations. Observations, interviews, and file reviews indicated timely staff response, adequate housekeeping, a clean and odor-free facility, and proper staff training. The complaint was determined to be unsubstantiated.
Complaint Details
The complaint included five allegations: staff did not assist a resident's call button in a timely manner, staff do not provide housekeeping services, the facility is not maintained sanitary, the facility is malodorous, and the licensee does not ensure staff receives required training. All allegations were found unsubstantiated based on observations, interviews with 6 residents and 6 staff, and file reviews.
Report Facts
Residents interviewed: 6
Staff interviewed: 6
Facility capacity: 130
Facility census: 63
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eldin Serrano | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Jessica Valiente | Resident Care Coordinator | Met with Licensing Program Analyst during the investigation |
| Karen Clemons | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 130
Deficiencies: 0
Jul 24, 2025
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations received on 2024-12-06 regarding staff not properly isolating sick residents, overlooking medical records, not ensuring resident privacy, and facility repair issues.
Findings
The investigation found no evidence to corroborate any of the allegations. Interviews with residents and staff, file reviews, and facility observations indicated that residents were properly isolated when sick, medical records were appropriately handled, resident privacy was respected, and the facility was in good repair. The complaint was determined to be unsubstantiated.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included improper isolation of sick residents, overlooking medical records affecting resident food and drink, lack of resident privacy, and poor facility repair. None of these were corroborated by the investigation.
Report Facts
Residents interviewed: 6
Staff interviewed: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eldin Serrano | Licensing Program Analyst | Conducted the complaint investigation visit |
| Jessica Valiente | Resident Care Coordinator | Met with Licensing Program Analyst during investigation |
| Karen Clemons | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 68
Capacity: 130
Deficiencies: 2
Apr 3, 2025
Visit Reason
The visit was an unannounced required comprehensive annual inspection of the Residential Care Facility for Elderly (RCFE).
Findings
The facility was found to be operating safely and in good repair with sufficient staffing and appropriate physical plant conditions. One deficiency was cited for missing personnel reports for 5 staff members, and one technical violation was noted for the infection control plan not being reviewed since 04/18/22.
Severity Breakdown
Type B: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Personnel records were incomplete as 5 staff personnel reports were missing from the files, posing a potential health, safety or personal rights risk to persons in care. | Type B |
| Infection control plan had not been reviewed since 04/18/22. | — |
Report Facts
Personnel reports missing: 5
Licensed capacity: 130
Resident census: 68
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Wendy Barrera | Administrator | Met with Licensing Program Analyst during inspection and named in findings |
| Michelle Echeverria | Licensing Program Analyst | Conducted the inspection and signed the report |
| Nedra Brown | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 61
Capacity: 130
Deficiencies: 4
Feb 13, 2024
Visit Reason
Licensing Program Analyst Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection.
Findings
The facility was inspected overall including physical plant, care and supervision, medical related services, food service, and record review. Deficiencies were cited related to personnel records, including missing criminal record clearances, health screening documentation, job-related training, and first aid training for several staff members.
Deficiencies (4)
| Description |
|---|
| Did not maintain criminal record clearances on file for staff #1, #2, #3, #4, and #5. |
| Did not maintain documentation of staff #4's health screening with tuberculosis results on file. |
| Did not maintain documentation of staff #1's job related training on file. |
| Did not maintain documentation of first aid training for staff #1, #2, #3, and #4 on file. |
Report Facts
Capacity: 130
Census: 61
Hospice waiver: 20
Resident files reviewed: 5
Staff files reviewed: 5
Fire drill date: Jan 30, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Wendy Barrera | Administrator | Met with Licensing Program Analyst during inspection |
| Karen Clemons | Licensing Program Manager | Named as supervisor and licensing program manager |
| Magda Malcore | Licensing Program Analyst | Conducted the inspection and signed the report |
Inspection Report
Annual Inspection
Census: 66
Capacity: 130
Deficiencies: 3
Mar 11, 2022
Visit Reason
The inspection was an unannounced annual inspection limited to infection control practices at the facility.
Findings
The facility was found to have adequate COVID-19 signage, PPE supplies, and infection control training for staff, but deficiencies were noted for failure to fit test staff for N95 masks and failure to maintain booster vaccination records for a staff member.
Severity Breakdown
Type B: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility did not provide all staff working with COVID-19 positive residents with fit testing for N95 respirators. | Type B |
| Facility failed to maintain records verifying Staff 2's COVID-19 booster vaccination or exemption. | Type B |
| Failure to associate an employee (Staff 1) correctly in the personnel report. | — |
Report Facts
Capacity: 130
Census: 66
Deficiencies cited: 2
Plan of Correction Due Date: Mar 25, 2022
Plan of Correction Due Date: Mar 18, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Priscilla Mancilla | Business Services Director | Met with Licensing Program Analyst and involved in infection control discussions and findings |
| Melody Brown | Licensing Program Analyst | Conducted the inspection and authored the report |
| Efren Malagon | Licensing Program Manager | Supervisor of the inspection |
Inspection Report
Complaint Investigation
Census: 66
Capacity: 130
Deficiencies: 0
Mar 11, 2022
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on 2021-09-13 regarding allegations of multiple falls and injuries sustained by a resident while in care.
Findings
The investigation found evidence that the resident had multiple falls and sustained bruises, but the facility acted appropriately by documenting falls, providing medical assessment, hospital transport, notifying the resident's Power of Attorney, and increasing supervision. There was insufficient evidence to prove neglect or serious injury caused by the facility, and the allegations were unsubstantiated.
Complaint Details
The complaint alleged that a resident had multiple falls and sustained injuries while in care. The investigation was unsubstantiated as there was no preponderance of evidence to prove neglect or that the injuries contributed to the resident's death.
Report Facts
Capacity: 130
Census: 66
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Priscilla Mancilla | Business Services Director | Met with Licensing Program Analyst during the investigation and exit interview |
| Efren Malagon | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 66
Capacity: 130
Deficiencies: 0
Jan 31, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that residents were being denied visitors.
Findings
The investigation found that visitation was allowed and encouraged outdoors with precautions due to COVID-19 cases. Residents were able to leave the facility and visitation was not denied, though some residents expressed concerns about visitation guidelines. The allegation was determined to be unsubstantiated.
Complaint Details
The complaint alleged that residents were being denied visitors. The investigation was unsubstantiated, meaning there was not enough evidence to prove the alleged violation occurred.
Report Facts
COVID-19 cases: 19
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Williams | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Wendy Barrera | Facility representative met during the investigation |
Inspection Report
Complaint Investigation
Census: 64
Capacity: 130
Deficiencies: 0
Oct 11, 2021
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2021-09-13 regarding staff not assisting residents with incontinence needs and not ensuring residents have clean linens.
Findings
The investigation found no evidence to corroborate the allegations. Staff were observed and interviewed, confirming residents' incontinence needs were met and linens were changed weekly or immediately if soiled. The complaint was determined to be unsubstantiated.
Complaint Details
The complaint was unsubstantiated based on records review and interviews with residents and staff. Allegations included failure to assist with incontinence needs and failure to ensure clean linens, both found unsupported by evidence.
Report Facts
Capacity: 130
Census: 64
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation |
| Julius Osorio | Administrator | Facility administrator met during investigation |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 62
Capacity: 130
Deficiencies: 0
Sep 20, 2021
Visit Reason
The inspection visit was conducted as an unannounced Health & Safety check in conjunction with complaint control #18-AS-20210913125516.
Findings
No imminent health or safety concerns were observed during the visit. The facility was found to have adequate staffing, proper food supplies, locked medications and cleaning supplies, proper signage, sufficient hand hygiene supplies, and adequate Personal Protective Equipment (PPE). The residents' needs appeared to be met.
Complaint Details
The visit was related to complaint control #18-AS-20210913125516. No health or safety hazards were observed, indicating no substantiated deficiencies.
Report Facts
Capacity: 130
Census: 62
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pricilla Mancilla | Business Service Director | Met with Licensing Program Analyst during inspection |
| Jennifer Semin | Licensing Program Analyst | Conducted the inspection visit |
| Karen Clemons | Licensing Program Manager | Named in report header |
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