Inspection visit

Routine inspectionJanuary 17, 2024

VILLA BOARD AND CARE HOMELicense 07144041515 citations on this visit

15 citations recorded

Inspector’s narrative

What the inspector wrote

On 1/17/2024 at 9:30AM, Licensing Program Analyst (LPA) Carol Fowler conducted an unannounced 1-Year Required inspection. LPA met with Daniel Villa and explained the purpose of the visit. The Administrator currently holds a certificate (#6035480740) that expired on 2/7/2023. The facility’s fire clearance was approved for six (6) non-ambulatory residents. LPA toured the facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area, garage and backyard. The facility consists of three (3) bedrooms occupied by residents, and two (2) bathrooms. No bodies of water observed. A comfortable temperature is maintained at 73 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 128.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 03/2/2022. Emergency Disaster Plan was not posted or provided. First aid kit was observed to be incomplete. LPA reviewed Administrator and two (2) staff files which were all incomplete. Continued on LIC809C. CONTINUE FROM LIC 809 LPA observed the following deficiencies: · At 10:00am, LPA observed scissors on the kitchen counter. · At 10:05am, LPA observed bar cleaner, stove cleaner, stone cleaner in unlocked cabinet underneath kitchen sink. · At 10:10am, LPA observed staff medications (insulin)in the refrigerator, razor blade in a unlocked drawer. · At 10:13am, LPA observed the dishwasher door held together with rope. · At 10:17am, LPA observed febreze underneath unlocked cabinet underneath bathroom sink and in the hallway on a cabinet and in 2nd bathroom. · At 10:22am, LPA observed hot water temperature at 128.5 degrees F. · At 10:28am, LPA observed not enough meat in 1st or 2nd freezer. · At 10:35am, LPA observed fire extinguisher was expired. · At 10:40am, LPA observed spider webs over the kitchen sink, on the walls in the living room, hanging from the ceiling, dusty furniture, spills running down the wall at the entry in the living room. · At 10:47am, LPA observed closet doors off track. · At 10:50am, LPA observed bathroom shower knob broken and needs to be cleaned. · At 11:00am, LPA observed a man living in the garage. · At 11:15am, LPA observed paint, weight bench with weights, tire, bike parts, tire, box, wood planks, lawn mower, 2 ladders, shovel, butain fuel, 2 dollies, unlocked shed, fruit picker, black plastic bags, and a small makeshift building in the back and side yard. CONTINUE ON LIC809C CONTINUE FROM LIC809 · At 11:20am, LPA observed unlocked medication multi vitamin, vitamin E, D3 and used syringes in small extended room off of the dining area. · At 11:29am, LPA observed a mini chainsaw, large saw, 2 cans of bernzomatic, and 2 cans of propane located in the dining area. · At 11:50am · At 11:00am, LPA observed staff and resident files incomplete, facility has no disaster plan. · At 12:05pm, LPA observed a ll staff CPR/FIRST AID has expired. LPA requested the following documents to be submitted to CCLD by 1/25/2024. · Resident Roster · LIC 308 Designation of Administrative Responsibility · LIC 309 Administrative Organization · LIC 500 Personnel Report · LIC 610E Emergency Disaster Plan (9 pages) · Liability Insurance Infection Control Plan The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, 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 this report and appeal rights provided

Citations

15 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.

1569.267(d)Type B
Based on interview and record review, the licensee did not comply with the section cited above by not providing staff with ongoing training which poses a potential health and safety or risk to persons in care.
1569.618(c)(3)Type B
Based on observation, interview and record review, the licensee did not comply with the section cited above by not renewing Administrator and staff CPR or First Aid certification which poses a potential health and safety risk to persons in care.
1569.695(a)Type B
Based on record review, the licensee did not comply with the section cited above not having a copy of the facilities emergency and disaster plan posted or on file which poses a potential health and safety risk to persons in care.
1569.696(a)Type B
Based on interview and record review, the licensee did not comply with the section cited above by not providing staff training which poses a potential health and safety risk to persons in care.
85076(d)(1)Type B
Based on observation, the licensee did not comply with the section cited above in having 7-day non-perishable which poses a potential health and safety risk to persons in care.
87203Type B
This requirement was not met as evidenced by expired fire extinguisher which poses a potential health & safety risk to residents in care.
87303(a)Type B
Based on observation, the licensee did not comply with the section cited above having a broken dish washer, spider webs on the walls in the living room, the living room window, and hanging from the ceiling, brown drippings coming down the wall in the living room, tables with dust, closet doors in bedroom #3 off track paperwork on dining table boxes on the floor in the passage way which poses a potential health and safety risk to persons in care.
87303(e)(6)Type B
Based on observation, the licensee did not comply with the section cited above by having a broken knob in the 2nd bather shower, floor of the 2nd bathroom shower has stains, hair in the drain which poses a potential health and safety risk to persons in care.
87303(f)(2)Type B
Based on observation, the licensee did not comply with the section cited above by having syringe needles in a container in the small room next to the dining area which poses a potential health and safety risk to persons in care.
87307(d)(6)Type B
Based on observation, the licensee did not comply with the section cited above by having 2 large boxes in the door ways which poses a potential health and safety risk to persons in care.
87309(a)Type A
Based on observation, the licensee did not comply with the section cited above by having bar cleaner, stone cleaner, razor blade, mini saw, large saw, bernzomatic, propane, febreze air freshener, vitamins, syeringe, insulin, unlocked and assessable which poses an immediate health and safety risk to persons in care.
87412(d)Type B
Based on observation, interview and record review, the licensee did not comply with the section cited above by not having the Administrator continuing education or recertification documents which poses a potential health and safety risk to persons in care.
87555(b)(27)Type B
Based on observation, the licensee did not comply with the section cited above by having spider webs with a spider in the kitchen sink area which poses a potential health and safety risk to persons in care.
87303(e)(2)Type A
Based on observation, the licensee did not comply with the section cited above by having the hot water temperature at 128.5 which poses an immediate health and safety risk to persons in care.
87208(A)(7)Type B
Based on LPAs observation licensee did not comply with the section cited above by staff/family sleeping in the garage in a makeshift bedroom being used for accommodation. Which poses a potential health and safety risk to residents.

FAQ · About this visit

Common questions about this visit

What happened during the January 17, 2024 inspection of VILLA BOARD AND CARE HOME?

This was a inspection inspection of VILLA BOARD AND CARE HOME on January 17, 2024. 15 citations were issued: 2 Type A (serious) and 13 Type B.

Were any citations issued to VILLA BOARD AND CARE HOME on January 17, 2024?

Yes, 15 citations were issued (2 Type A, 13 Type B). The first citation was for: "Based on interview and record review, the licensee did not comply with the section cited above by not providing staff wi..."

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 CCLD View original report

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Data from CCLD public records. Last updated May 25, 2026. If you believe any information is inaccurate, report it here.

Routine inspection·January 17, 2024