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Inspection visit

Routine inspection

MARYMOUNT VILLA RETIREMENT CENTERLicense 0156010831 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 10/14/2025 at 10:00 AM, Licensing Program Analysts (LPA) Y. Brown arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator (ADM), Dolly Rizvi, and explained the purpose of the visit. The facility’s fire clearance was approved for ninety nine (99) non-ambulatory residents, of which nine (9) may be bedridden and approved for eighteen (18) hospice. LPA toured the facility with the ADM, including but not limited to residents' apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. There are no bodies of water observed. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in a sample of resident's bathrooms were measured at 112.1,113.1, and 110.6 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher all around the facility was last serviced on 10/16/2024. LPA reviewed six (6) staff and seven (7) resident records. LPA reviewed a sample of medication. Continued on LIC809C. Continued from LIC809. The following forms will be updated and submitted to CCLD by 10/21/2025: LIC610D: Emergency disaster plan The following deficiency was observed: At 1:00 pm, LPA observed missing first aid training from 0/5 staff members. Deficiency was cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. A copy of the appeal rights and this report provided.

Citations

2 citations 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.

  • 87612(a)(11)Type A

    87612 Restricted Health Conditions(a) The licensee may provide care for residents who have any of the following restricted health conditions, or who require any of the following health services:(11) Wound care as specified in Section 87631. Based on files review and interview the Licensee did not comply with the section cited above by R1 having an unstageable wound residing in the facility, which poses an immediate health and safety risk to persons in care.

  • 87411(c)(1)Type B

    Based on record review, the licensee did not comply with the section cited above in that 0 out of 5 staff members did not have first aid certification on file which poses an immediate health and safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the October 14, 2025 inspection of MARYMOUNT VILLA RETIREMENT CENTER?

This was a inspection inspection of MARYMOUNT VILLA RETIREMENT CENTER on October 14, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to MARYMOUNT VILLA RETIREMENT CENTER on October 14, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87612 Restricted Health Conditions(a) The licensee may provide care for residents who have any of the following restrict..."

What type of inspection was this?

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

SourceView on CCLDView original report

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