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Inspection visit

Incident investigation

SPYGLASS SENIOR VILLA IILicense 0792008461 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 07/17/2025 at 10:30AM, Licensing Program Analysts (LPAs) T. Syess-Gibson and L. Hall arrived conducted an unannounced Case Management visit regarding an incident that was reported to CCLD on 07/14/2025. LPA met with Gloria Rueda, Caregiver and explained the purpose of the visit. Gloria contacted Rhonette Santos, House Manager, Rhonette arrived at 10:46AM. LPAs received call from Sutter Delta Medical Center staff W1 on 7/14/2025. W1 stated R1 tested positive for an infectious Disease on 07/02/2025 and 07/06/2025. Sutter Delta staff attempted to contact S1 to discharge R1. R1 received a negative test result for the infectious disease on 7/11/2025. LPA T. Syess-Gibson spoke with S1 regarding incident on 7/14/2025. S1 stated R1 was admitted into the hospital on 7/1/2025. LPA received an incident report dated 7/14/2025, later that day. Along with the incident report S1 included an after-summary visit for R1 dated 6/18/2025. S1 did not notify CCLD regarding either incident within seven days of the occurrence. Continue on LIC809C Continued from LIC809 Upon arrival on today’s date LPAs observed R1 have been discharged back to the facility. LPAs obtained and reviewed a copy of R1’s hospice care plan and infectious disease notes from Sutter Delta Medical Center. Deficiencies are 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

1 citation 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)Type B

    87211(a) Reporting Requirements(a)Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by not notifying CCLD of incidents within seven days of the occurrence.

FAQ · About this visit

Common questions about this visit

What happened during the July 17, 2025 inspection of SPYGLASS SENIOR VILLA II?

This was a other inspection of SPYGLASS SENIOR VILLA II on July 17, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to SPYGLASS SENIOR VILLA II on July 17, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87211(a) Reporting Requirements(a)Each licensee shall furnish to the licensing agency such reports as the Department may..."

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.