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Inspection visit

Routine inspection

ACACIA VILLASLicense 3060047493 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of conducting a Required – 1 Year Inspection. LPA met with Administrator (AD) Tammy Joo and discussed the purpose of the inspection. LPA reviewed Infection Control requirements. At about 1:00PM, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and medication room and observed the following: Structure: this is a large commercial facility. Facility is composed of a single, two-story building with an outdoor courtyard in the center, a commercial kitchen and large dining room on the first floor, a medication room on the first floor, a laundry room on the second floor, and resident rooms on both floors, along with multiple common areas and storage rooms. There are a total of 66 resident rooms. Resident Bedrooms: the 10 resident bedrooms inspected are spacious and will easily accommodate the residents’ furnishings. Furniture for 10 resident bedrooms inspected. Bathrooms: the bathrooms were clean, faucets and toilets were operational. Water temperature: tested between 105 and 128 degrees F, before corrections, in the 7 resident bathrooms tested. Call system tested in multiple resident bedrooms with prompt responses from staff. Linens & Hygiene Supplies: new linens and fully stocked linen closets were observed. Emergency Phone Numbers, Exit Plan & Menu: reviewed. Food Service: LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations. Carbon Monoxide, Smoke Detectors, Fire Extinguisher: observed. Appliances: stove burners, microwave, washers, and dryers inspected. Knives: observed locked in the kitchen. Toxins: observed locked in the housekeeping closets. Medication room: observed to be locked. First-Aid Kit and Activity Supplies: observed and available. The facility’s licensing fees are not yet past due. At about 8:00AM, LPA reviewed 10 resident files and 10 staff files, interviewed 5 residents and 5 staff, and inspected medications for 10 residents. Facility does not handle resident money. LPA provided California Department of Public Health informational material on Legionnaires’ Disease during the inspection. During the inspection, LPA and AD observed the following: based on observation, the water temperature in Rooms 129, 122, 107, 202, and 231 tested at 122, 121, 126, 128, and 123 degrees F; based on documents, Staff #7 (S7) and Staff #10 (S10) have been working without current first aid certificates; and based on documents, the physician's reports for Resident #1 (R1) through Resident #10 (R10) are on the old form and do not include required information, including behavioral expressions. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.

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.

  • 87303(e)(2)Type B

    Based on observation, the water temperature in Rooms 129, 122, 107, 202, and 231 tested at 122, 121, 126, 128, and 123 degrees F, which poses a potential safety risk to persons in care.

  • 87411(c)(1)Type B

    Based on documents, S7 and S10 have been working without current first aid certificates, which poses a potential health risk to persons in care.

  • 87458(c)(7)Type B

    Based on documents, the physician's reports for R1 through R10 are on the old form and do not include required information, including behavioral expressions, which poses a potential safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 16, 2026 inspection of ACACIA VILLAS?

This was a inspection inspection of ACACIA VILLAS on April 16, 2026. 3 citations were issued: 3 Type B.

Were any citations issued to ACACIA VILLAS on April 16, 2026?

Yes, 3 citations were issued (0 Type A, 3 Type B). The first citation was for: "Based on observation, the water temperature in Rooms 129, 122, 107, 202, and 231 tested at 122, 121, 126, 128, and 123 d..."

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.