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Inspection visit

Routine inspection

COUNTRY CLUB VILLALicense 197803185
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

On 07/20/24 at 9:26 AM, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced required – annual inspection and met with Assistant Administrator Wilma Iglesias . Administrator Max Iglesias joined us shortly afterwards. The facility is licensed to serve six (6) elderly residents, all of which (6) may be non-ambulatory with a hospice waiver approved for two (2) aged 60+ years. The facility currently has one resident on hospice. The facility is a 1-story structure with 5 bedrooms, 4 bathrooms, living room, kitchen and inside and outside patio. The Assistant Administrator accompanied LPA inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place, and hot water temperature properly measured at 109.5F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Continue to LIC809-C. Common areas were clean and clear of hazards, doorways were free of obstructions. LPA toured the kitchen area and observed a two-day supply of perishable and a seven-day supply of non-perishable food. Knives and toxins were kept in locked storage cabinet. First Aid kit was available. One fire extinguisher, last serviced March 20, 2024 was observed in the kitchen area. Administrator tested the carbon monoxide detector and smoke detectors in the house. Both devices were functional. 5 staff records were reviewed, 5 out of 5 staff records had current first aid certificates and required criminal record clearances or criminal record exemptions. 5 resident records were reviewed and, 5 out of 5 resident records had medical assessments. Two residents’ medication was reviewed. No deficiencies are being cited. An exit interview was conducted, technical assistance provided, and a copy of this report was discussed and left with Assistant Administrator Wilma Iglesias .

Citations

No citations recorded on this visit

The inspector found no violations of California child care regulations during this visit.

FAQ · About this visit

Common questions about this visit

What happened during the July 20, 2024 inspection of COUNTRY CLUB VILLA?

This was a inspection inspection of COUNTRY CLUB VILLA on July 20, 2024. The inspection found no deficiencies and no citations were issued.

Were any citations issued to COUNTRY CLUB VILLA on July 20, 2024?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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