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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 331800490
Report Date: 06/18/2026
Date Signed: 06/18/2026 04:20:58 PM

Document Has Been Signed on 06/18/2026 04:20 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:VILLA DESCANSO SENIOR LIVINGFACILITY NUMBER:
331800490
ADMINISTRATOR/
DIRECTOR:		TORRES, GABRIELAFACILITY TYPE:
740
ADDRESS:6683 LEANNE STREETTELEPHONE:
(951) 407-1501
CITY:EASTVALESTATE: CAZIP CODE:
91752
CAPACITY: 6CENSUS: 6DATE:
06/18/2026
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:Staff Valerie RutherfordTIME VISIT/
INSPECTION COMPLETED:
04:45 PM
NARRATIVE
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On 6/18/2026 Licensing Program Analyst (LPA) Mary Rico conducted an unannounced case management visit to amend the report that was provided on 2/19/2026. LPA Rico met with staff member Valerie Rutherford. The licensee, Gabriela Torres, was contacted. LPA Rico was unable to leave a voicemail as the inbox was full. Based upon an Audit conducted by the Department which included interviews and review of records, it was found that Resident #1 (R1) was financially abused.

Audit revealed that from around 8/15/2019 to at least 5/10/2023, licensee representative (S2) had access and control of R1’s monies. R1 did not provide approval for Staff #1 (S1) and S2 access or control. During the time period, charges/purchases for various goods and services at retail and vendors such as Door dash in San Francisco, Uber pass in San Fransico, Ralphs, Target, Postmates, Instacart, Amazon, Coach, Ulta, and Walmart were made using R1 bank cards. R1 bank cards were in possession of (S2) and R1 did not have access to cards or finances, despite indication from physician report that R1 was able to do so. R1 further indicated that R1 was not aware of the various charges made and did not make these purchases. It is also noted that R1, S1, and S2 1 acknowledged that R1 did not take trip to San Francisco.

The Department Audit revealed multiple transactions for the goods and services between August 15, 2019, to May 10, 2024, totaling $10,801.75. S1 and S2 were unable to provide any documentation or receipts showing that R1’s money had been used in accordance with Title 22 regulations nor with R1 approval. In addition, S2 did not maintain and supervise R1 financial records. Based on information gathered, the following are being cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) (LIC809D) was discussed and provided to staff Valerie Rutherford. Along with a copy of Appeal Rights.

NAME OF LICENSING PROGRAM MANAGER: Efren Malagon
NAME OF LICENSING PROGRAM ANALYST: Mary Rico
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/18/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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Document Has Been Signed on 06/18/2026 04:20 PM - It Cannot Be Edited


Created By: Mary Rico On 06/18/2026 at 01:02 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: VILLA DESCANSO SENIOR LIVING
FACILITY NUMBER: 331800490

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/18/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/19/2026
Section Cited
CCR
87468.1(a)(3)

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87468.1 (a) (3) Personal Rights of Residents in all Facilities..Residents in all residential care facilities for the elderly shall have all of the.. rights: .To be free from punishment,. such as withholding residents’ money..This requirement was not met as evidenced by;
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The Licensee is to refund R1 $10,802.75.
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Based on interviews and records review (S2) had access and control of R1 finances and subsequently spent R1 monies in the amount of $10,802.75. R1 did not acknowledge approval of access or expenditures. This posed an immediate risk to residents in care.
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POC due date 6/19/2026
Type A
06/19/2026
Section Cited
CCR87217(b)(g)

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87217(b)(g) Safeguards for Resident Cash, Personal Property, & Valuables..Every facility.. measures to safeguard residents' cash resources, personal property and valuables.. the residents receipts for all such articles or cash . entrusted to his care
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The Licensee stated they will complete a training for Safeguards for Resident Cash Personal Property& Valuables. A copy will be provided to LPA Rico.
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This requirement was not met as evidenced by; Based on interviews and records review, (S2) did not provide documents and receipts which ensure compliance with safeguarding R1 monies and expenditures. This posed an immediate risk to residents in care.
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POC due date 6/19/2026
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Efren Malagon
NAME OF LICENSING PROGRAM MANAGER:
Mary Rico
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 06/18/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/18/2026


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/18/2026 04:20 PM - It Cannot Be Edited


Created By: Mary Rico On 06/18/2026 at 01:38 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: VILLA DESCANSO SENIOR LIVING
FACILITY NUMBER: 331800490

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/18/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/19/2026
Section Cited
CCR
87405(d)

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87405(d) Administrator, Qualifications and Duties (d) .. is also the administrator, all requirements for an administrator shall apply. (1) Knowledge..2) Knowledge of and ability to conform to the applicable laws, rules..regulations..Thisrequirement was not met as evidenced by;
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The Licensee stated they will complete a training regarding Administrator Qualifications. A copy will provided to LPA Rico.
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Based on interviews and records review, (S2) S2 did not maintain and supervise R1 financial records. This posed an immediate risk to residents in care.
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POC due date 6/19/2026
Type A
06/19/2026
Section Cited
CCR87205(a)

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87205 Accountability of Licensee Governing Body (a) The licensee..shall exercise general supervision over the affairs of the licensed facility..operation in conformance with these regulations and the welfare...This requirement was not met as evidenced by;
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The Licensee stated they will complete a training regarding Accountability of Licensee Governing Body. A copy will be provided to LPA Rico.
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Based on interviews and records review, Licensee representative (S2) did not exercise general supervision over the facility operations resulting in the financial abuse of R1. This posed an immediate risk to residents in care.
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POC due date 6/19/2026
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Efren Malagon
NAME OF LICENSING PROGRAM MANAGER:
Mary Rico
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 06/18/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/18/2026


LIC809 (FAS) - (06/04)
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