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Inspection visit

Routine inspection (multi-day)

LA MIRADA VILLA FOR THE ELDERLYLicense 1986034763 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Erik Zaragoza conducted an unannounced Required 1-year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA met with William Del Rio, caregiver for the facility, and explained the purpose of the visit. Administrator Eliza De Honor arrived shortly thereafter. The following 12 (CARE) tool domains were observed and reviewed: Infection Control, Physical Plant/Environment Safety, Operational Requirements, Staffing, Personnel Records/Staff Training, Resident Rights/Information, Resident Records/Incident Reports, Food Service, Planned Activities, Incident Medical and Dental, Disaster Preparedness, and Residents with Special Health Needs. Physical Plant/Environment Safety: · The facility is a single-story home located in a residential neighborhood. It is licensed for a capacity of six (6) residents, all six (6) of whom may be non-ambulatory and receive hospice services. The facility consists of a kitchen, a dining room, a living room, four (4) resident bedrooms, two bathrooms of which Restroom #1 had a hot water temperature reading of 105.4 Degrees Fahrenheit, and Restroom #2 which had a hot water temperature reading of 111.4 Degrees Fahrenheit. The facility was observed to be in good repair. · The interior and exterior physical plant was inspected. Exit doors are free of any obstruction. The facility has a fully charged fire extinguisher kept in the facility. Operational Requirements: · Fire clearance was approved by LA County Fire Department for a capacity of six (6) residents, all of whom may be non-ambulatory and on hospice. · Care and supervision to meet the clients’ needs was observed. Staffing: · Four (4) full-time staff members provide care and supervision to the clients. Personnel Records/Staff Training: · Four (4) staff files were reviewed for criminal background clearance and training. · Two (2) staff members had Tuberculosis clearances, however they did not have a health screening on record. · Administrator does not have a current administrator certificate and needs to be recertified. Resident Rights/Information: · Physician orders were reviewed for six (6) resident files. · Medications were also reviewed for six (6) residents. Resident Records/Incident Reports: · Six (6) resident files were reviewed containing admission agreements, Physician's Report, medical/functional assessments, Needs and Services Plans, TB clearance, Appraisal/Needs and Services Plan, personal rights, medical consent, and medication records were reviewed. Food Service: · The kitchen was inspected and has sufficient supply of 2-day perishable & 7-day non-perishable food. Kitchen, food preparation area, and storage areas were observed to be clean and sanitary. Incident Medical and Dental: · All residents have an Appraisal/Needs and Services Plan on file. · Staff training was on file. Disaster Preparedness: · Emergency and Disaster Plan (LIC610E) was posted in the facility. · The last emergency and disaster drill was conducted on 6/2/2026. Planned Activities: · Sufficient Space is provided to accommodate both indoor and outdoor activities. · Sufficient equipment and supplies are provided to meet the requirements of the activity program. Residents with Special Health Care Needs · There is an adequate number of staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her appraisal There are Three (3) residents with half-bed rails, however they do not have physician orders for the rails. Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiencies observed during the visit is documented on the LIC809D pages. Exit interview held and a copy of the report along with appeal rights were provided.

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.

  • 87411(f)Type B

    Health screening and fitness requirements

    Based on record review, the licensee did not comply with the section cited above in 2 out of 4 staff, because two staff members do not have a health screening in their records, which poses a potential health, safety or personal rights risk to persons in care.

  • 87412(d)Type B

    Keep administrator certification or recertification records

    Based on record review, the licensee did not comply with the section cited above in 6 out of 6 residents, because the administrator does not have an active administrator's certificate, which poses a potential health and safety risk to clients in care.

  • 87608(a)(5)(A)Type B

    Based on observation and interview, the licensee did not comply with the section cited above in 3 out of 6 residents, because there are 3 residents with half-bed rails but do not have a physician order for the rails, 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 June 16, 2026 inspection of LA MIRADA VILLA FOR THE ELDERLY?

This was an other inspection of LA MIRADA VILLA FOR THE ELDERLY on June 16, 2026. 3 citations were issued: 3 Type B.

Were any citations issued to LA MIRADA VILLA FOR THE ELDERLY on June 16, 2026?

Yes, 3 citations were issued (0 Type A, 3 Type B). The first citation was for: "Based on record review, the licensee did not comply with the section cited above in 2 out of 4 staff, because two staff ..."

What type of inspection was this?

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

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.