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Inspection visit

Incident investigation

MARYMOUNT VILLA RETIREMENT CENTERLicense 0156010832 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 1/6/2026 at 12:45 PM, Licensing Program Analysts (LPAs) Y. Brown and A. Gomez arrived unannounced to conduct a Case Management visit in regards to an unusual incident report received 1/5/2026. LPAs met with Executive Director, Dolly Rizvi, and explained the purpose of the visit. It was reported that on 12/31/2025 resident (R1) eloped from the facility. At approximately 4:18 pm, the front desk received a call from R1's POA about R1 leaving the facility. R1 was located at a shopping center. Staff picked up R1 and brought R1 back to the facility. During visit LPAs reviewed R1's physicians report and care plan. LPAs also contacted R1's physicians that stated that R1 is not able to leave unassisted. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiency may result in civil penalties. Exit interview conducted with Dolly Rizvi appeal rights and a copy of 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.

  • 87219(i)Type A

    87219 Planned Activities(i) The licensee shall implement reasonable interventions in order to ensure the safety of all residents utilizing indoor and outdoor areas and take precautions to prevent residents from unsafe wandering and elopement, as defined in Section 87101, Definitions. Such precautions may not conflict with residents' personal rights as specified in Section 87468.1, Personal Rights of Residents in All Facilities and Section 87468.2, Additional Personal Rights of Residents in Privately Operated Facilities.This requirement is not met as evidenced by: Based on record review and interviews, the facility did not meet the requirement above by staff neglecting to ensure that R1 who is a memory care resident was being supervised during group activities with assisted living residents in the common area which led to R1's elopement. There was also not a process in place to assure residents safety during activities which posed an immediate safety risk to residents in care.

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  • 87411(a)Type B

    Personnel Requirements-General 87411(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs...This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section above by not having sufficient and competent number of staff to meet R1's care needs. Executive Director states that staff were not aware of R1's elopement and they did not complete head counts until after the activity which resulted in R1 having eloped for approximately 40 minutes before the facility was aware which is a potential safety and personal rights risks to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 6, 2026 inspection of MARYMOUNT VILLA RETIREMENT CENTER?

This was a other inspection of MARYMOUNT VILLA RETIREMENT CENTER on January 6, 2026. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to MARYMOUNT VILLA RETIREMENT CENTER on January 6, 2026?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "87219 Planned Activities(i) The licensee shall implement reasonable interventions in order to ensure the safety of all r..."

What type of inspection was this?

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

SourceView on CCLDView original report

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