Inspection visit

Routine inspectionJuly 25, 2023

CITRUS GARDENSLicense 3364267593 citations on this visit

3 citations recorded

Inspector’s narrative

What the inspector wrote

On 7/25/2023 at 9:15 a.m., Licensing Program Analyst (LPA) Janette Romero conducted an unannounced visit to the facility for a required annual inspection. LPA met with Executive Assistant Diana Molina Ramirez who was informed of the purpose of the visit. LPA toured the facility’s interior and exterior. The facility is approved for 55 non-ambulatory residents of which five (5) may be bedridden and has a hospice waiver for 25. Executive Assistant Ramirez stated the facility currently has 18 residents on hospice and one (1) bedridden. During the tour, LPA observed the facility has a small common area in each villa. The outside area provides shaded seating available for resident use. LPA observed residents playing bingo on the patio with Activities Director Elizabeth Torres. Indoor and outdoor passageways are free of obstruction. LPA observed fire alarm systems, carbon monoxide detectors and fire extinguishers throughout the villas. Long-Term Care Ombudsman posters were observed throughout the facility as well. The temperature in each villa is comfortably set to 72 degrees Fahrenheit. There are no bodies of water on the premises. LPA toured the kitchen and observed food was stored in a safe and healthful manner. Facility met Departmental requirements for 2-day perishables and 7-day non-perishable food items. Medications are secured in medication carts inside the locked med room. Cleaning solutions and chemicals are secured in a locked hallway closet. Knives and sharp instruments are secured in the kitchen. Continued on LIC809-C.. Based on observation and record review, LPA cited the following deficiencies faulting the facility: During the tour of Villa #1, LPA observed the restroom toilet in front of room 104 had blood inside of the toilet and feces on the toilet seat. Executive Assistant Ramirez asked staff to clean the restroom. LPA also observed Villa #1’s restroom in front of room 102 has water damage on the base molding between the toilet and shower area. Executive Assistant Ramirez confirmed water damage on base molding and stated water comes out of the base molding area, and maintenance person was contacted to make the repairs. Executive Assistant Ramirez added that the facility is in the process of renovating all restrooms. During random staff record review, LPA observed Staff #1 does not have CPR/First Aid training. A copy of this report was discussed and provided to Executive Assistant Ramirez along with LIC809-D and Appeals Rights.

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(a)Type B
Based on observation and interview, the licensee did not comply with the section cited above due to the water damage and leakage in Villa #1's restroom in front of room 102, which poses a potential health, safety or personal rights risk to persons in care.
87470(a)(2)(A)Type B
Based on observation, the licensee did not comply with the section cited above due to LPA observing blood in toilet and feces on toilet seat in Villa #1, which poses a potential health, safety or personal rights risk to persons in care.
87411(c)(1)Type B
Based on record review, the licensee did not comply with the section cited above due to Staff #1 (S1) not having first aid/CPR training, 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 July 25, 2023 inspection of CITRUS GARDENS?

This was a inspection inspection of CITRUS GARDENS on July 25, 2023. 3 citations were issued: 3 Type B.

Were any citations issued to CITRUS GARDENS on July 25, 2023?

Yes, 3 citations were issued (0 Type A, 3 Type B). The first citation was for: "Based on observation and interview, the licensee did not comply with the section cited above due to the water damage and..."

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 CCLD View original report

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Data from CCLD public records. Last updated May 25, 2026. If you believe any information is inaccurate, report it here.

Routine inspection·July 25, 2023