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Inspection visit

Incident investigation

MARYMOUNT VILLA RETIREMENT CENTERLicense 015601083
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

At 12:30 pm on this day, December 6, 2024, Licensing Program Analyst (LPA) Delmundo arrived unannounced in response to the Unusual Incident Report (UIR) received by the Department from the facility on December 5, 2024. LPA met with Wellness Coordinator (WC) Kristinia Morgan and Care Coordinator (CC) Bessy John and informed the reason for visit. UIR indicated that on December 1, 2024, resident (R1) was out with R1's family when R1 was complained of pain in the left wrist. The family took R1 to the hospital where it was discovered that R1's wrist is broken.The UIR is missing last page (page 2) which LPA obtained from CC on this same day. LPA reviewed R1's records and obtained copies of the following documents: Face Sheet; LIC602A Physician's Report; facility notes; hospital's After Visit Summary. LPA conducted interviews. No deficiency cited on this day. WC has to leave the facility and gave permission to have CC sign and receive this report. Exit interview conducted and copy of this report provided.

Citations

1 citation recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87355(e)(2)Type B

    Obtain required California clearance or exemption

    87355 Criminal Record Clearance: (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility:(2) Request a transfer of a criminal recordclearance as specified in Section 87355(c) -This requirement is not met as evidenced by:-Based on records review and interview, the licensee did not comply with the section above for not having S1 associated which poses a potential safety risk to the persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the December 6, 2024 inspection of MARYMOUNT VILLA RETIREMENT CENTER?

This was an other inspection of MARYMOUNT VILLA RETIREMENT CENTER on December 6, 2024. The inspection found no deficiencies and no citations were issued.

Were any citations issued to MARYMOUNT VILLA RETIREMENT CENTER on December 6, 2024?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.