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Inspection visit

Routine inspection

VILLA MIRAGE OF CARMELLicense 27520190612 citations on this visit
12 citations recorded

Inspector’s narrative

What the inspector wrote

On 10/22/25 Licensing Program Analyst (LPA) J. Leffall arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was greeted by Staff (S1) Maria Resendiz. LPA was granted entry. All 6 residents were present during inspection. Administrator Charito Serrano (A1) was called and arrived shortly after LPA’s arrival. LPA toured facility with S1. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. An adequate supply of perishable and non-perishable food was observed. Freezer temperature was maintained at -20 degrees F and refrigerator temperature was maintained at 30 degrees F. Fire extinguisher was observed with a purchase date of: 10/110/24. No Fire drill conducted quarterly. Washer and dryer observed operational during visit. Carbon monoxide not observed in the facility. Smoke detectors were tested and observed to be operational. Residents' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are toured and observed to be operational. Hot water temperature was tested at a range of 106 degrees F and 119.4 degrees F in bathroom 3 out of 4 bathrooms. Bathroom 2 water temperature tested at 124.8 degrees F. Non-skid mat and grab bars observed in bathrooms. Outside of facility toured. Side gate was self-closing and self-latching. Outside was observed with adequate outdoor seatings available for residents. All medications were checked and observed kept locked in the hall closet. Residents’ MARS was reviewed. First aide kit observed with all of the required items. Both resident’s and staff files had multiple missing documents. Deficiencies are being cited on the attached 809D in accordance with California Code of Regulations, Title 22, Division 6. Exit Interview conducted. The following documents requested to be updated and submitted to Fresno CCL by 11/5/25: Lic 308, Lic 500, Lic 610E, Current Liability Insurance and current Administrator’s certificate. A copy of this report was provided to Administrator, whose signature on this form confirms receipt of these report.

Citations

12 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.

  • 1569.311Type A

    Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 1 Carbon Monoxide Dectectors missing in facility which poses an immediate health, safety or personal rights risk to persons in care.

  • 1569.695(c)Type B

    Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 1 Fire Drill log which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87303(e)(2)Type A

    Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 4 water faucets were tested at a temperature of 124.8 in bathroom 2 which poses an immediate health, safety or personal rights risk to persons in care.

  • 87406(a)(1)(B)Type B

    Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 2 staff does not possess a certificate in medication training which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87463(c)(2)Type B

    Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 5 residents does not possess an LIC-601 in resident file which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87469(a)Type B

    Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 1 resident does not possess a Consent for Medical treatment in resident file which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87506(b)(10)Type B

    Based on observation, interview, record review, the licensee did not comply with the section cited above in 2 out of 5 residents does not possess an LIC-602 with TB test, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87506(b)(16)Type B

    Based on observation, interview, record review, the licensee did not comply with the section cited above in 2 out of 5 residents do not possess a Safeguard for Property Values which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.33(h)Type A

    Based on observation, interview, record review, the licensee did not comply with the section cited above in 2 out of 2 fire extinguishers are past the one year service/purchase date which poses an immediate health, safety or personal rights risk to persons in care.

  • 1569.618(c)(3)Type A

    Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 2 staff is not First Aide certified which poses an immediate health, safety or personal rights risk to persons in care.

  • 1569.72(c)Type B

    Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 1 fire drill which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87208(a)(2)Type B

    Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 5 residents does not have an Admission Agreement 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 October 22, 2025 inspection of VILLA MIRAGE OF CARMEL?

This was a inspection inspection of VILLA MIRAGE OF CARMEL on October 22, 2025. 12 citations were issued: 4 Type A (serious) and 8 Type B.

Were any citations issued to VILLA MIRAGE OF CARMEL on October 22, 2025?

Yes, 12 citations were issued (4 Type A, 8 Type B). The first citation was for: "Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 1 C..."

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