198203965-3-18-2026-11-AS-JHAD-DSVNLB-20260406103314

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198203965
Report Date: 03/18/2026
Date Signed: 03/18/2026 10:29:45 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/12/2026 and conducted by Evaluator Ernand Dabuet

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20260312155330

FACILITY NAME:	VILLA CHRISTA		FACILITY NUMBER:	198203965
ADMINISTRATOR:	ARLENE FELICIANO		FACILITY TYPE:	740
ADDRESS:	16421 CHANERA AVE		TELEPHONE:	(310) 719-8997
CITY:	TORRANCE	STATE: CA	ZIP CODE:	90504
CAPACITY:	6; 6	CENSUS: 6	DATE:	03/18/2026
		UNANNOUNCED	TIME BEGAN:	12:53 PM
MET WITH:	Arlene Feliciano		TIME COMPLETED:	05:31 PM

ALLEGATION(S):

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Staff is utilizing an electronic lock on facility door.
Staff is operating out of scope of license.

INVESTIGATION FINDINGS:

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On March 18, 2026, the California Department of Social Services/Community Care Licensing (CDSS/CCL) Licensing Program Analyst (LPA) Ernand Dabuet conducted an initial unannounced complaint visit. Arlene Feliciano, administrator, greeted the LPA. LPA explained that the purpose of the visit is to investigate the allegations mentioned above.

The investigation included a collection of records of tour of the facility and interviews. The Department collected service records for Resident #1- Resident #6 (R1- R6), Medical Assessment for Residential Care Facilities for the Elderly LIC 602A and Physician’s Report LIC 602A, Registered of Facility Residents, Mountain Hospice and Palliative Care Inc records and other documents pertinent or associated with this complaint. Interviews conducted with Resident #1-#6 and Staff #1-#2 and Witness #1-#2.

(Evaluation Report continues LIC 9099--C)

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 03/18/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2026

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 11-AS-20260312155330

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: VILLA CHRISTA	FACILITY NUMBER: 198203965
	VISIT DATE: 03/18/2026

NARRATIVE

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INVESTIGATION REVEALED THE FOLLOWING:

Allegation #1: Staff is utilizing an electronic lock on facility door.

It is reported that the facility is using an electronic keypad lock for the front entrance door. The lock requires a code for both entry and exit, raising concerns among residents about their health and safety. No additional information about this issue has been provided.

On March 18, 2026, between 1:15 PM and 1:30 PM, the Department observed staff members using an electronic key lock to secure the metal security screen door. They entered a combination on the keypad, which is accessible only from inside the building and can only be used by staff members.

On March 18, 2026, between 1:45 PM and 2:45 PM, the Department interviewed staff members identified as Staff #1 and Staff #2 (S1-S2). Two (2) of the two (2) staff members verified that the mental screen door had an electronic key lock that required a staff member to enter a secret combination to release entry and exit. (S1-S2) verified that only staff members had access to the combination and that no residents or visitors had knowledge of the combination. The combination lock was a gift from a family member and is used to control the perimeter for residents who have wandering behaviors, according to (S1).

Based on the information gathered, there is sufficient evidence to support the allegation mentioned above that the facility is not in compliance with Title 22 Regulations.

Allegation #3: Staff are operating out of scope of license.

It is alleged that the facility staff is operating outside the scope of the license. It reported that the facility is currently serving two hospice residents. In the past two hospice residents passed away, and the State Community Care Licensing license states the facility is only approved for one hospice resident. No additional information about this issue has been provided.

On March 18, 2026, between 2:00 PM and 2:30 PM, the Department reviewed resident members identified as Resident #1 through Resident #6 (R1-R6) service records. Records revealed that there are currently (2) out of the (6) resident members that are active residents on hospice care with Mountainside Hospice and Palliative Care Inc, Resident #1 and Resident #2 (R1-R2). Resident #3 (R3) was also being serviced by the same hospice agency and was released just 30 days ago.

(Evaluation Report continues LIC 9099-C)

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 03/18/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2026

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20260312155330

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: VILLA CHRISTA	FACILITY NUMBER: 198203965
	VISIT DATE: 03/18/2026

NARRATIVE

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On March 18, 2026, between 1:45 PM and 2:45 PM, the Department interviewed staff members identified as Staff #1 and Staff #2. Two (2) of the two (2) staff members confirmed that there are currently two residents receiving hospice care, while one resident has just been released from hospice care. (S1) indicated that there is no knowledge that the facility is operating beyond its licensed capacity, noting that it has been a considerable time since the facility was last licensed. Given this information, the facility had three residents on hospice care within the past 60 days confirmation that facility is operating out of scope of Community Care Licensing license.

Based on the information gathered, there is sufficient evidence to support the allegation mentioned above that the facility is not in compliance with Title 22 Regulations.

Based on the evidence gathered, interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the above-mentioned allegations are found to be SUBSTANTIATED.

California Code of Regulations (Title 22, Division 6, Chapter 8), the above-mentioned deficiencies were observed, and citation issued (ref. LIC 9099 D).

An exit interview was conducted with Arlene Feliciano, and copies of the report and appeal rights were provided.

*Immediate Civil Penalty issued*

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 03/18/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2026

LIC9099 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: VILLA CHRISTA	FACILITY NUMBER: 198203965
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/18/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 03/19/2026 Section Cited CCR 87202(a)	1 2 3 4 5 6 7	87202 Fire Clearance (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department.. licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county... This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Licensee agrees to comply with Title 22, Section 87202 and will remove the automated keypad combination lock on the screen door. Plan of correction must be sent to LPA Dabuet by 03/19/26 at ernand.dabuet@dss.ca.gov
	8 9 10 11 12 13 14	Based on observation and interview, the licensee did not comply with the section cited above. The licensee had keypad combination lock device for screen gate door without a fire clearance approved. This violation which poses an immediate health, safety or personal rights risk to persons in care.	8 9 10 11 12 13 14	Correction was completed during the visit 03/18/26. Immediate Civil Penalty
Type B 04/01/2026 Section Cited CCR 87204(a)	1 2 3 4 5 6 7	87204 Limitations -Capacity and Ambulatory Status (a) A licensee shall not operate a facility beyond the conditions and limitations specified on the license.... specification of the maximum number of persons who may receive services at any one time... This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Licensee agrees to submit a request for a hospice waiver increase to the CCLD by April 1, 2026. If the licensee fails to do this, they must remove hospice services from one of the residents to comply with the scope of their license. The plan of correction must be submitted to ernand.dabuet@dss.ca.gov.
	8 9 10 11 12 13 14	Based on observation, record review and interview, the licensee did not comply with the section cited above. The licensee is retaining (2) hospice residents and is only approved for (1) hospice waiver per CCL License. This violation which poses a potential health, safety or personal rights risk to persons in care.	8 9 10 11 12 13 14

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 03/18/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2026

LIC9099 (FAS) - (06/04)

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