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Inspection visit

Follow-up

WILLOWVIEW HOME TWO, LLCLicense 1976103724 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

On 12/11/2025 at approximately 09:30 AM, Licensing Program Analyst (LPA), Angelica Segovia conducted a Case Management visit during their initial complaint visit (Control# 31-AS-20251202141313) and the following deficiencies were observed. LPA interviewed and conducted record reviews pertaining to three (3) residents (R1-R3) and one (1) staff member (S2). Upon LPA’s record review, LPA observed three (3) of the three (3) residents records to be incomplete and not updated. LPA observed three (3) of the three (3) residents to be missing their Needs and Services and Pre-Appraisals. When LPA interviewed S2 and questioned how they are providing care to the residents without knowing what their care plan or needs are, S2 stated that they will review their hospital discharge paperwork and base their care from there forth. During LPA’s record review of S2’s personnel record, LPA observed S2 First-Aid/Cardiopulmonary Resuscitation (CPR) certificate to be dated 10/12/2022 which was expired. LPA advised S2 to renew their certificate, which they agreed they would do so. LPA could also not locate any training for S2. S2 stated that they are to receive training from the Administrator. Let it be noted that S2 was the only caregiver present during LPA’s visit. (Continue to 809-C) During LPA’s physical plant tour, LPA observed the exit leading to the front of the facility from the backyard to be broken. LPA observed two brown squared nightstand dressers pushed up against an unsecured small white gate being utilized as a form of barrier from the exit to the front driveway. LPA also observed the front fence to be broken with one gate attachment missing. LPA observed an unsecured white small gate and mattresses with a toilet placed in front being used as the replacement of said missing gate. Citations issued. Please refer to 809-D. No other immediate health and safety issues observed during the time of visit. Exit interview conducted, appeal rights given and a copy of this report was provided to the caregiver.

Citations

4 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.

  • 1569.618(c)(3)Type B

    (c) The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR.This requirement is not met evidenced by: Based on interviews, record review and observation S2 was missing their current First-Aid/CPR training certificate and was the only staff present which poses a potential Health, Safety or Personal Rights risk to persons in care.

  • 87303(a)Type B

    Maintain facility in clean, safe, sanitary condition

    87303 Maintenance and Operation. (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include...the safety and well-being of residents, employees and visitors.This requirement is not met as evidenced by: Based on observations two gates of the facility are broken which poses a potential Health, Safety, or Personal Rights risk to persons in care.

  • 87412(c)(1)(A)Type B

    87412 Personnel Records. (c) Licensees shall maintain in the personnel records...(1) The following staff training...shall be documented: (A) For staff...there shall be documentation of... initial training...and annually...This requirement is not met as evidenced by Based on interviews, record review and observations S2 was missing their intital training and annual training which poses a potential Health, Safety, or Personal Rights risk to persons in care.

  • 87457(c)Type B

    Complete admission suitability appraisal

    87457 Pre-Admission Appraisal. (c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of their individual service needs...This requirement is not met as evidenced by: Based on interviews, record review and observation three of the three residents records were incomplete and not updated: missing their Pre-Appraisal and completed Needs/Services Plan which poses 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 December 11, 2025 inspection of WILLOWVIEW HOME TWO, LLC?

This was an other inspection of WILLOWVIEW HOME TWO, LLC on December 11, 2025. 4 citations were issued: 4 Type B.

Were any citations issued to WILLOWVIEW HOME TWO, LLC on December 11, 2025?

Yes, 4 citations were issued (0 Type A, 4 Type B). The first citation was for: "(c) The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of t..."

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.