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Inspection visit

Routine inspection

OLD OAK GOLDEN VILLA, LLCLicense 0156014492 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 12/4/2025 at 9:30AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, Sergio Devera and explained the purpose of the visit. Administrator, Corazon Nunez was unable to be at the facility and designated caregiver to sign licensing reports. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguisher was observed to be full and last serviced on 6/16/2025. One week of nonperishable and 2-day of perishable food supplies were available. LPA observed grab bars and non-skid mat in the bathrooms. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished. First Aid kit is complete. LPA reviewed 4 residents and 3 staff files starting at 10:00AM. LPA reviewed a sample of resident's medications during inspection. At 11:30AM, LPA observed S2 does not have TB test on file. At 12:28PM, LPA measured hot water temperature at 129.2 degrees F in the hallway bathroom. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in civil penalties. Exit interview conducted with Sergio Devera. A copy of this report and appeal rights was 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.

  • 87303(e)(2)Type A

    Based on observation, the licensee did not comply with the section cited above by having hot water at 129.2 degrees F which poses an immediate health and safety risk to persons in care.

  • 87411(f)Type B

    Based on record review, the licensee did not comply with the section cited above by not having TB test for S2 which poses a potential health and safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the December 4, 2025 inspection of OLD OAK GOLDEN VILLA, LLC?

This was a inspection inspection of OLD OAK GOLDEN VILLA, LLC on December 4, 2025. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to OLD OAK GOLDEN VILLA, LLC on December 4, 2025?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "Based on observation, the licensee did not comply with the section cited above by having hot water at 129.2 degrees F wh..."

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