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Inspection visit

Routine inspection

CERRITOS VILLA 1License 19760732011 citations on this visit
11 citations recorded

Inspector’s narrative

What the inspector wrote

LPA was met by Caregiver Gloria Roxas and explained the purpose of the visit. Administrator Julio Navallo arrived shortly. Facility is licensed to serve residents over 60 years old six (6) can be non-ambulatory, of which one (1) may be bedridden and one (1) hospice approved. During today’s visit it was observed facility had two (2) bedridden residents without approved fire clearance civil penalties assessed. The home is located in a residential neighborhood, is a single-story home on a cul-de-sac The home contains (4) bedrooms, (2) bathrooms, living room, dining room, kitchen, and garage. LPA toured the facility and observed the following: Each resident’s bedroom has the required furniture and bedding. There is extra clean linen and towels in a hallway closet. Front door auditory device was not working at time of visit. Smoke detectors were observed in each room and throughout the facility and are properly operating. There is 1 carbon monoxide in the hallway and is properly operating. The facility has two (2) fully charged fire extinguishers which is kept in the kitchen and hall. Cleaning supplies and toxic substances were observed to be accessible to residents in cabinet under kitchen sink and bathroom #1 deficiency cited. Freezers are maintained at a temperature of 0-degree F and the refrigerators at a maximum of 40 degrees F. Sufficient supply of 2 days perishable & 7 days non-perishable foods was observed in the kitchen. Sharps are locked and placed in cabinet in kitchen. There are no firearms or weapons stored at the facility. The two bathrooms contain a working toilet, basin and water faucet, shower with grab bar, shower chair, and bathmat. The hot water temperature in the bathrooms were measured between in the required range of 105-120 degrees F. The facility does not have a swimming pool or bodies of water on the premises There is a shaded seating area for the residents located in the backyard. Passageways and exits are free of obstruction. The garage is clean and has extra supplies. One (1) out of four (4) Staff files were reviewed and included Criminal clearance record, CPR, and health screening with TB. Two staff did not have current CPR. Five (5) out of Six (6) residents files were reviewed and included physicians report, TB clearance. Two residents were missing Physicians reports and two were missing hospice care plan. Fire/earthquake drill was conducted in October of 2024 Infectious control plan was reviewed. The medications are centrally stored and locked in a cabinet in kitchen The facility uses the Medication Administration Record (MAR) log to document medications given. LPA reviewed medications for all residents and one (1) out of six (6) are not given out properly. During Visit LPA observed medication in refrigerator not in locked box. Facility did not have current liability insurance. Deficiencies have been noted on LIC 809D under Title 22 Regulations. Exit interview was conducted and a copy of this report, LIC 809D and appeal rights were provided to Julio Navallo.

Citations

11 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

    Based on observation, the licensee did not comply with the section cited above cleaning supplies were observed under kitchen sink and bathroom #1 unlocked which poses an immediate health, safety or personal rights risk to persons in care.

  • 87465(h)(2)Type A

    Store centrally held medications in locked secure place

    Based on observation, the licensee did not comply with the section cited above in one (1) out of six (6) residents R3 medication were in refrigerator not in a locked box which poses an immediate health, safety or personal rights risk to persons in care.

  • 87465(c)(2)Type A

    Give PRN medication by physician order

    Based on observation, the licensee did not comply with the section cited above in one (1) out of six (6) residents R4 medication was not documented correctly and Administartor could not indicate when medication was started which poses an immediate health, safety or personal rights risk to persons in care.

  • 87606(c)Type A

    Require fire clearance before non-temporary bedridden admission

    Based on record review the licensee did not comply with the section cited above facility has two (2) bedridden residents operating out of required scope fire clearance approved for one(1) which poses an immediate health, safety or personal rights risk to persons in care.

  • 87633(a)(1)Type A

    Based on record review, the licensee did not comply with the section cited above two residents did not have hospice waiver facility has hospice clearance for one which poses an immediate health, safety or personal rights risk to persons in care.

  • 1569.605Type B

    Based on record review, the licensee did not comply with the section cited above facility did not have liability insurance which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87303(a)Type B

    Maintain facility in clean, safe, sanitary condition

    Based on observation, the licensee did not comply with the section cited above front door auditory did not work which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.618(c)(3)Type B

    Based on record review, the licensee did not comply with the section cited above in two (2) out of four (4) staff did not have CPR/First AID training which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87458(a)Type B

    Obtain baseline medical assessment before resident admission

    Based on record review, the licensee did not comply with the section cited above in two (2) out of two (2) residents R4 and R6 did not have current Physicians reports which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87633(b)Type B

    Facility must keep complete hospice care plan on file

    Based on record review, the licensee did not comply with the section cited above in two (2) out of three (3) residents did not have a hospice care plan which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87705(c)(3)Type B

    Based on record review, the licensee did not comply with the section cited above in three (3) out of four (4) staff did not have training which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the November 2, 2024 inspection of CERRITOS VILLA 1?

This was an inspection of CERRITOS VILLA 1 on November 2, 2024. 11 citations were issued: 5 Type A (serious) and 6 Type B.

Were any citations issued to CERRITOS VILLA 1 on November 2, 2024?

Yes, 11 citations were issued (5 Type A, 6 Type B). The first citation was for: "Based on observation, the licensee did not comply with the section cited above cleaning supplies were observed under kit..."

What type of inspection was this?

This was an inspection. 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.