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Inspection visit

complaint

VILLAGE LANE RESIDENCELicense 3103118803 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

LPA investigated the allegation, “Facility staff did not provide timely medical care.” Based on interviews and documentation provided, on April 19,2025, R1 sustained a fall and licensee stated staff were instructed to call 911 within minutes. However, the incident report submitted to LPA recorded conflicting information. R1 fell in the bedroom, not in the activity area and R1 complained of knee pain. Documentation revealed that medical attention was not called for more than one hour after the fall. The inconsistencies between the licensee’s oral statements and the written reports demonstrated inaccurate documentation and delayed medical intervention. LPA investigated the allegation, “Facility staff did not allow resident return following hospital discharge.” Based on interviews and documentation provided, on April 23, 2025, R1 was medically cleared for discharge from the hospital and approved for home health services. Based on records reviewed, it was confirmed that R1 was fit to return to the facility. During an interview, licensee noted that R1 was never told that they could not return but stated based on their observation of R1 it was determined that R1’s level of care was beyond what the facility could provide. The facility’s decision to deny reentry, despite medical clearance, constituted an unlawful eviction. The violation will result in a Repeat Violation. An Immediate Civil Penalty will be issued. Based on LPAs observations and interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . California Code of Regulations, Title 22, and the California Health and Safety Code are cited on the attached LIC9099-D. An exit interview was conducted, and a copy of the report and appeal rights were provided.

Citations

4 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.

  • 87211(a)(1)(B)Type B

    87211(a)(1)(B) Each licensee shall furnish to the licensing agency such reports as the Department may require, including…This report shall include the resident's name, age, sex and date of admission; date and nature of event… Any serious injury as determined by the attending physician and occurring while the resident is under facility supervision. This requirement is not met as evidence by: Based on interviews and records reviewed, the facility did not report unexplained injury and bruising after R1’s fall, which poses a potential health, safety, and personal rights violation to the residents in care.

  • 87224(a)(4)Type B

    87224(a)(4) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice.... the licensee and the person who performs the reappraisal believe that the facility is not appropriate for the resident. This requirement is not met as evidence by: Based on the investigation, refusal to allow R1 to return back to the facility following a discharge which constitutes an unlawful eviction, which poses a potential health, safety, and personal rights violation to the residents in care.

  • 87465(g)Type B

    87465(g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical....Sections 87469(c)(2), (c)(3), or (c)(4). This requirement is not met as evidence by: Based on the investigation, staff did not provide timely medical care to R1 following a fall, which poses a potential health, safety, and personal rights violation to residents in care.

  • 87217(e)Type B

    87217(e) Cash resources and valuables of residents which are handled by the licensee for safekeeping shall not be commingled with or used as the facility funds or petty cash, and shall be separate...facility’s funds and valuables. This requirement is not met as evidence by: Based on record review and interview, the licensee failed to safeguard R1’s cash resources by purchasing a new wheelchair which constitutes misuse of resident cash resources, which poses an immediate health, safety, and personal rights violation to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the October 9, 2025 inspection of VILLAGE LANE RESIDENCE?

This was a complaint inspection of VILLAGE LANE RESIDENCE on October 9, 2025. 3 citations were issued: 3 Type B.

Were any citations issued to VILLAGE LANE RESIDENCE on October 9, 2025?

Yes, 3 citations were issued (0 Type A, 3 Type B). The first citation was for: "87211(a)(1)(B) Each licensee shall furnish to the licensing agency such reports as the Department may require, including..."

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.