Lakewood Villa Care Center

Maintain facilities for fire and panic safety

All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This is not met as evidenced by: Based on observation and interview, the licensee did not maintain proper fire clearance by padlocking the outside emergency gate at the backyard near the parking lot. This poses an immediate health, safety, and personal rights risks to persons in care.

Ensure hazardous items are locked and not unattended

Storage Space and Access Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Based on observation, cleaning solutions, disinfectants, detergents, hygiene and other similar items were found accessible in the kitchen and laundry room. This poses an immediate health, safety, and personal rights risks to persons in care.

Care and supervision as defined by statute and rules

87464(f) Basic services shall at a minimum include (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c).This was not met as evidenced by: Based on records review, and interview with the care staff the facility did not ensure staff provided care and supervision to R1. Due to not providing care and supervision, R1 left the facility unassisted. This posed an immediate risk to residents in care.

Diet quality and preparation in safe healthful manner

87555 General Food Service Requirements(a)The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents... All food shall be selected, stored, prepared and served in a safe and healthful manner. This requirement was not met as evidenced by:LPA observed facility meal lunch preparation quantity insufficient to meet the needs of residents in care. Additional interview with faciltiy staff (S1) indicated that residents are unable to request additional servings of food, due to meal quantity.

Maintain facility in clean, safe, sanitary condition

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidenced by:The facility did not ensure that resident/staff bathrooms were in good repair at all times. LPA toured the facility on 10/31/2025 and observed staff bathrooms in disrepair with the toilet clogged.

Store centrally held medications in locked secure place

87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement was not met as evidenced by:The facility did not ensure that centrally stored medications were kept locked and inacessible in the facility, which resulted in resident (R1) medications missing in the facility.

Keep bath, laundry and kitchen floors clean

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include ...maintenance services and procedures for the safety and well-being of residents, employees and visitors (1) Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition. This requirement was not met as evidenced by:The facility did not ensure the facility was clean, sanitary, and odorless at all times. During a visit to the facility on 10/28/2025 the facility bathrooms were observed unsanitary and not free of odor.

Staff training in personal care activities

87411 Personnel Requirements - General (c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 This requirement was not met as evidenced by:Licensee did not ensure staff had any initial or annual training. LPA reviewed staff files, and it was observed that facility staff did not have any training on record in the facility.

87465 Incidental Medical and Dental Care (b)If the resident's physician has stated in writing that the resident is able to determine and communicate his/her need for a prescription or nonprescription PRN medication...(2) Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met as evidenced by:The facility did not ensure that residents centrally medications were administered in a timely manner in accordance with physician's orders.

Maintain and operate facility under definitive plan

87208 Plan of Operation (a) The licensee shall have and maintain a current, written definitive plan of operation for the facility. The licensee shall operate the facility in accordance with the terms specified in the plan of operation and may be cited for not doing so pursuant to Health and Safety Code section 1569.49... This requirement was not met as evidenced by:Licensee did not ensure that the facilities approved Plan of Operation was followed. The licensee installed (3) surveillance cameras observed in the facility kitchen, staff and medication room.

Protection from punishment and intimidation

87468.1 Personal Rights of Residents in All Facilities. (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights (3)..To be free from punishment, humiliation, intimidation...actions of a punitive nature, such as withholding...interfering with daily living functions such as eating, sleeping, or elimination. This requirement was not met as evidenced by:The facility did not ensure that the refrigerator was unlocked and accessible to residents in care. Interview with facility staff (R2)(R3) indicated that the refrigerator is locked per the request of the licensee.

87208 Plan of Operation (a) The licensee shall have and maintain a current, written definitive plan of operation for the facility. The licensee shall operate the facility in accordance with the terms specified in the plan of operation and may be cited for not doing so pursuant to Health and Safety Code section 1569.49... This requirement was not met as evidenced by:The licensee did not ensure that the facility followed the Infection Control Plan as specified in the facility Plan of Operation. The licensee did not ensure reporting requirements were met, and the facility maintained proper PPE for all residents and facility staff.

Diet quality and preparation in safe healthful manner

87555 General Food Service Requirements (a) The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents...This requirement was not met as evidenced by: The facility did not ensure the facility had a sufficient quantity of food to meet the needs of the residents in care. Interview with facility staff (R1)(R2)(R3) indicated that the facility consistently did not provide a sufficient quantity of food in the facility.