374604294-2-25-2025-18-AS-APAO-DH4R35-20250528123922

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604294
Report Date: 01/10/2025
Date Signed: 02/25/2025 12:06:45 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/08/2025 and conducted by Evaluator Janette Romero

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20250108152134

FACILITY NAME:	LAS VILLAS DEL NORTE		FACILITY NUMBER:	374604294
ADMINISTRATOR:	FARISH, JOLENE		FACILITY TYPE:	740
ADDRESS:	1325 LAS VILLAS WAY		TELEPHONE:	(760) 741-1047
CITY:	ESCONDIDO	STATE: CA	ZIP CODE:	92026
CAPACITY:	198	CENSUS: 175	DATE:	01/10/2025
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Administrator, Jolene Farish		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Staff are not practicing proper food safety practices.

INVESTIGATION FINDINGS:

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On 2/25/2025, Licensing Program Analyst (LPA), Janette Romero arrived unannounced to deliver amended findings for the allegation listed above. LPA met with Administrator, Jolene Farish who was informed of the purpose of the visit.

It was alleged the facility may have unsanitary food practices and servers did not wash their hands on 1/2/2025, due to a resident’s visitor falling ill after having a meal provided by the facility. LPA toured the facility, conducted interviews, and reviewed records. During tour of the kitchen, LPA observed the freezer was maintained at a temperature of 0 degrees Fahrenheit (F) and refrigerator at 31 degrees F. LPA also observed kitchen staff wearing gloves while preparing food. LPA observed perishable and non-perishable food stored in a safe manner. LPA toured the memory care bistro and did not observe any issues or concerns regarding food safety requirements.

*This is an amended version of the original report.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025

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 18-AS-20250108152134

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: LAS VILLAS DEL NORTE	FACILITY NUMBER: 374604294
	VISIT DATE: 01/10/2025

NARRATIVE

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Administrator Farish was interviewed and reported several residents and staff experienced symptoms of Norovirus beginning 12/30/2024, and all residents and their responsible persons were notified of the outbreak at the facility. Administrator reported the written notification requested visitors wash their hands before and after leaving the facility as a safety precaution for residents and staff. Administrator added they also placed copies of the written notification in common areas including near the main entrance where visitors sign in. Administrator explained upon discovery of the outbreak, facility staff received additional training regarding proper hand washing techniques and cleaning protocols. Administrator reported facility staff consistently disinfected high-touch surfaces in common areas throughout the facility. LPA reviewed a copy of the written notification which noted the request for visitors to wash their hands before and after leaving the facility. LPA interviewed three (3) staff who were present during the alleged incident date, and all reported on 1/2/2025, they regularly washed their hands and wore gloves when serving residents and their visitors food. LPA reviewed the facility’s Inservice Record Sheet dated 12/30/2024 signed by staff along with the training material which noted staff were trained on safe practices to prevent and address Norovirus and other gastrointestinal illness outbreaks. LPA also reviewed the facility’s Course Completion History dated 1/10/2025 noting staff completed training regarding food safety. LPA conducted an interview with the alleged victim who reported the meal provided by the facility tasted fine and they observed facility servers wear gloves and face masks when serving meals. The alleged victim added the facility did not appear unsanitary.

Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is unsubstantiated. An exit interview was conducted and a copy of this report was reviewed and provided to Administrator Farish.

*This is an amended version of the original report.

SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025

LIC9099 (FAS) - (06/04)

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