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Inspection visit

Routine inspection (multi-day)

DEAN'S CARE VILLA 110License 1572065752 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 11/8/2025 Licensing Program Analyst (LPA) B. Miranda arrived at the facility unannounced to conduct and complete the an annual inspection. LPA was greeted by staff and allowed entrance into the facility. Staff contacted Licensee who arrived shortly after. LPA met with Licensee John Nobleza and conducted tour. LPA observed the facility to be clean, odor free, and clutter free. The facility is currently licensed for 6 and has a current census of 6. LPA observed all emergency exits to be clear and free from obstruction. LPA observed fire extinguishers to be last serviced 7/19/2025 and with current charge. Facility has 7 bedrooms with 2&1/2 bathrooms. 5 of the 7 bedrooms are for resident and the other 2 rooms are for staff. The master bedroom is a shared room with 2 residents, all other residents have their own room. LPA observed resident bedrooms to be properly furnished with adequate lighting. LPA tested the water temperature in the half bathroom which read at 109 degrees Fahrenheit and in the kitchen which read at 109 degrees Fahrenheit. Smoke & carbon monoxide detectors were tested and are in working condition. LPA observed medications to be locked and inaccessible to residents in care. LPA observed a 7 day supply of non-perishable food items and 2 days worth of perishable food items. LPA reviewed infection control plan which is current and up to date. LPA observed a sample of staff files and resident files which are current and up to date. LPA reviewed medications and did not observe any errors at this time. LPA observed the following deficiencies which were cited under Title 22: Laundry room door was open with unlocked cabinet which made cleaning supplies and chemicals accessible to residents in care. LPA observed 3 residents with full bed rails, 2 of the 3 residents are on hospice. Licensee was not able to provide doctor's order for full bed rail. Exit interview was conducted and a copy of this report LIC809, LIC809D, and appeal rights were emailed to Licensee John Nobleza.

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.

  • 87309(a)Type A

    Ensure hazardous items are locked and not unattended

    87309 Storage Space and Access (Unlocked items)(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage.This requirement is not met as evidenced by: Based on observation & interview, the licensee did not comply with the regulation shown above which poses an immediate Health or Safety and, Personal Rights risk to persons in care. LPA observed the laundry room door to be open with an unlocked cabinet containing cleaning supplies and chemicals.

  • 87608(5)(B)Type A

    87608 Postural Supports (Hospice- Full Bed Rails)(5) Under no circumstances shall postural supports include tying, depriving, or limiting the use of a resident's hands or feet.(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails.This requirement is not met as evidenced by: Based on observation, interview, and record review, the licensee did not comply with the regulation shown above which poses an immediate Health and Safety or Personal Rights risk to persons in care. LPA observed R1, R2, and R3 to have full bedrails. R1 & R3 are on hospice with no doctor orders for bedrails.

FAQ · About this visit

Common questions about this visit

What happened during the November 8, 2025 inspection of DEAN'S CARE VILLA 110?

This was an other inspection of DEAN'S CARE VILLA 110 on November 8, 2025. 2 citations were issued: 2 Type A (serious).

Were any citations issued to DEAN'S CARE VILLA 110 on November 8, 2025?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "87309 Storage Space and Access (Unlocked items)(a) Except as specified in subsection (b), the licensee shall ensure tha..."

What type of inspection was this?

This was an 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.