Del Rosa Villa: Food Safety Temperature Violations - CA
Inspectors observed Resident 107 on the morning of February 8 sitting in his wheelchair, a urinary drainage bag attached to the chair beside him. He told them the staff weren't coming in to empty it, so he'd been handling it himself. As he spoke, he demonstrated: he removed the drainage port, emptied the bag, and replaced the port. No gloves. No hand hygiene before. None after.
The resident had been readmitted to the facility with diagnoses that included fluid overload and low oxygen levels in the blood. Inspectors noted he had intact cognition. He knew what he was doing. What he didn't have was any instruction on how to do it safely, or any staff member who had decided it was his job to make sure the bag got emptied in the first place.
The next morning, inspectors spoke with CNA 4. He said Resident 107 wasn't his regularly assigned resident. He wasn't aware the man had a urinary bag at all.
LVN 1, interviewed minutes later, said the CNAs were responsible for emptying urinary bags. When inspectors asked whether Resident 107 had been screened or assessed to determine if he was appropriate to empty the bag himself, LVN 1 couldn't answer. She did not know.
Two days after that, on February 11, inspectors sat down with the facility's Infection Preventionist. She could not confirm whether any documentation existed showing Resident 107 had been assessed as capable of managing his own catheter care. She could not point to any record of education provided to him, any supervision of how he was doing it, or any evaluation of whether he was doing it correctly.
There was nothing. No assessment. No training. No oversight. The resident had simply been left to figure it out.
Urinary catheters carry a well-established infection risk. Bacteria introduced at the drainage port during emptying can travel up the catheter and into the bladder. Proper hand hygiene and gloves before and after handling the drainage port are basic protections. Resident 107 had been skipping both, not because he was careless, but because nobody had told him otherwise.
Del Rosa Villa's own infection prevention and control policy, last revised in October 2018, described a program designed to maintain a safe, sanitary, and comfortable environment and to prevent the development and transmission of infection. Inspectors cited the facility for failing to deliver that for Resident 107.
The violation was tagged as having the potential for actual harm, affecting few residents. One resident, in this inspection. But the Infection Preventionist couldn't produce a single piece of documentation, which raises a question the inspection report doesn't answer: whether anyone had looked at this particular situation before inspectors walked in and watched it happen in real time.
Resident 107 sat in his wheelchair and showed the inspectors exactly how he'd been doing it. Removing the port. Draining the bag. Replacing the port. Hands bare. The staff member who should have been doing it didn't know he existed.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Del Rosa Villa from 2026-02-12 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 5, 2026 · Our methodology
Del Rosa Villa in San Bernardino, CA was cited for violations during a health inspection on February 12, 2026.
Inspectors observed Resident 107 on the morning of February 8 sitting in his wheelchair, a urinary drainage bag attached to the chair beside him.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.