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Inspection visit

Reference check

CAMILA CARE VILLA IILicense 1572092923 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

On 1/12/24, Licensing Program Analyst (LPA) M. Medina arrived at the facility to complete the required 10-day complaint visit and observed the following during facility tour and review of facility records: Staff 1 (S1) and Staff (S2) are fingerprint cleared and not associated to facility but were observed working during facility visit. Resident rooms for R2 and R3 contained half bed rails, Resident room for R4 contained full bed rails. Residents in these rooms are not on hospice or do not have a physician order with an exception from the department. During interview with Licensee for complaint, facility was not able to show any record of incident report being sent to department for a fall on 12/24/23 for R1. Based on today’s visit, deficiencies are being cited in accordance with Title 22 on the attached LIC 809D for the date of 1/12/2024. An immediate civil penalty is being assessed. An exit interview was conducted with Licensee, Maria Emma Pangilinan, signed on site and a copy of this report, LIC 9098 Proof of Correction and Appeal rights were provided during visit.

Citations

3 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)Type B

    Report specified resident events within seven days

    (a) Each licensee shall furnish to the licensing agency...(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 in (A) through (D) below. ***This was not met as evidenced by facility was not able to show any record of incident report being sent to department for a fall on 12/24/23 for R1.

  • 87355(e)(2)Type A

    Obtain required California clearance or exemption

    (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c) or ***This was not met as evidenced by S1 and S2 are working, fingerprinted, cleared and not associated to facility.

  • 87608(a)(5)(A)(B)Type A

    (a) Based on the individual's preadmission appraisal...Postural supports may be used under the following conditions.(A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed.(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 was not met as evidenced by R2 and R3 have 1/2 bed rails, R4 has full bed rails.

FAQ · About this visit

Common questions about this visit

What happened during the January 12, 2024 inspection of CAMILA CARE VILLA II?

This was an other inspection of CAMILA CARE VILLA II on January 12, 2024. 3 citations were issued: 2 Type A (serious) and 1 Type B.

Were any citations issued to CAMILA CARE VILLA II on January 12, 2024?

Yes, 3 citations were issued (2 Type A, 1 Type B). The first citation was for: "(a) Each licensee shall furnish to the licensing agency...(1)(A written report shall be submitted to the licensing agenc..."

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.