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Inspection visit

Health check

SCOTT VILLALicense 0192007504 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

On this day, January 29, 2025, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct a health and safety inspection as a result of the Department receiving a priority 2 complaint (Complaint #15-AS-20250127122838). LPA met with Lulin 'Lucy' Wu, back-up administrator (BUA), and informed the reason for visit. LPA obtained copies of LIC9020 Register of Facility Residents. When verified for total number of residents on LIC9020, BUA stated resident (R1) passed away on 1/15/25 in the hospital; however, review of documents and LPA's efaxed folder for the facility revealed no Death Report submitted. LPA also observed Unusual Incident Reports and SOC341 on resident's (R2) file but these documents were not submitted nor received by the Department. Facility did not report to the Department within 2 hours upon knowledge of the suspected abuse. LPA toured the facility inside out with the BUA. LPA inspected the common areas, activity room, dining room, kitchen, ensuite toilets, shower room. LPA randomly selected 6 residents rooms for inspection. LPA observed the following: -at 2:19 pm to 2:21 pm, auditory signal on the exit door in one of the resident's rooms not in working condition. LPA also observed extra hospital bed sideways against the wall and detached baseboard and wall moulding with protruding nail in this room. .....continued on 809C Deficiencies are cited from Title 22 California Code of Regulations, and listed on 809Ds. A $250.00 civil penalty is assessed for repeat violation of section 87303(a) within 12 month period. Failure to submit proof of correction by plan of correction due date, may result in additional civil penalties. Deficiencies and plan and proof of corrections were discussed with the BUA. Exit interview conducted. Appeal Rights, LIC421FC Civil Penalty Assessment, LIC9098 Proof of Correction form and copy of this report provided.

Citations

4 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.

  • 87211(a)(1)(A)Type B

    87211 Reporting Requirements(a)(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified (A)Death of any resident from any cause regardless of where the death occurred.... -This requirement is not met as evidenced by:-Based on record review and interview, the licensee did not comply with the section above in not sending the Death Report for resident (R1) which posed a potential personal rights risk to person in care.

  • 87211(b)Type A

    87211Reporting Requirements (b) Any suspected physical abuse that results in serious bodily injury of an elder or dependent adult shall be reported to the local ombudsman, the corresponding licensing agency, and the local law enforcement agency within two (2) hours.......-This requirement is not met as evidenced by: -Based on records review and interview, the licensee did not comply with the section in not reporting to the agencies includin the Department the suspected abuse which posed an immediate safety and/or personal rights risks to person in care.

  • 87303(a)Type B

    87303 Maintenance and Operation(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. -This requirement is not met as evidenced by:-Based on observation, the licensee did not comply with the section above in extra hospital bed, detached baseboard and wall moulding with protruding nail in the resident's room which pose a potential risks to persons in care. This is a repeat violation.

  • 87705(d)Type A

    87705 Care of Persons with Dementia(d) The licensee shall ensure that the facility has an auditory device or other staff alert feature to monitor exits on exterior doors and perimeter fence gates .........-This requirement is not met as evidenced by: -Based on observation, the licensee did not comply with the section above in auditory signal not in working conditon which poses an immediate safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 29, 2025 inspection of SCOTT VILLA?

This was a other inspection of SCOTT VILLA on January 29, 2025. 4 citations were issued: 2 Type A (serious) and 2 Type B.

Were any citations issued to SCOTT VILLA on January 29, 2025?

Yes, 4 citations were issued (2 Type A, 2 Type B). The first citation was for: "87211 Reporting Requirements(a)(1) A written report shall be submitted to the licensing agency and to the person respons..."

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