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Inspection visit

complaint

CRESTAVILLALicense 3060061981 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

The RCC contacted R1's responsible party and primary care physician (PCP). The PCP arranged for a Home Health visit which took place on August 12, 2025. The Home Health notes show both wounds are closed with no sign of infection. The Home Health notes describe the injuries as skin tears. The RCC reported that the injuries were cleaned daily and bandaged daily. LPA interviewed R1, R1 did not recall the incident and reported they did not fall recently. LPA interviewed R2 who reported there was no blood on R1's clothing and there minimal blood on the skin tears. The RCC reported that R1 only required first aid and because no pain was reported and no other injuries were noted it wasn't necessary to call 911. The RCC reported that R1 was not nervous or displaying any signs of distress. Based on the evidence gathered the allegation, staff did not get trimly medical care for resident is deemed unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted and a copy of the report provided. No evidence was gathered to support the allegation. Therefore the allegation is deemed unsubstantiated. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted and a copy of the report provided. a written report to the responsible party concerning R1's injuries. California Code of Regulation (CCR) Title 22, Division 6, 87211(a)(1) states, " A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below." R1 received first aid for their injuries on their forearms so this incident qualifies under CCR Title 22, Division 6 87211(a)(1)(D) which states, " Any incident which threatens the welfare, safety or health of any resident". The incident involving R1 took place on August 3, 2025 and the facility did not report the incident in writing until August 12, 2025, 9 days later. A record review of incidents reports submitted to the Agency from the facility for the month of August 2025 show the facility did not report the incident to the Agency. Based on the evidence gathered, the preponderance of evidence standard has been met, therefore the allegation is substantiated. Deficiencies are being cited per Title 22, Division 6 of the California Code of Regulations (CCR). An exit interview was conducted and a copy of the report provided along with appeal rights.

Citations

1 citation 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.

  • 87211(a)(1)(D)Type B

    87211(a)Each licensee shall furnish to the licensing agency ...(1)A written report shall be submitted to the licensing agency and to the person responsible within seven days... (D)Any incident which threatens the welfare, safety or health of any resident...This requirement is not met as evidenced by: The Licensee did not submit a written report for R1's incident that took place on August 3, 2025, to the responsible party and the Licensing Agency within seven days, which poses a potential health, safety and personal rights risk to residents.

FAQ · About this visit

Common questions about this visit

What happened during the August 28, 2025 inspection of CRESTAVILLA?

This was a complaint inspection of CRESTAVILLA on August 28, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to CRESTAVILLA on August 28, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87211(a)Each licensee shall furnish to the licensing agency ...(1)A written report shall be submitted to the licensing a..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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.