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Inspection visit

Complaint

LAKEWOOD VILLA CARE CENTERLicense 3427015531 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Allegation: Staff did not follow proper eviction procedures It was alleged that staff did not follow proper eviction procedures. This investigation consisted of interviews with facility staff, and resident (R1) responsible party. On 12/19/2025 LPA spoke with the facility licensee who stated that resident (R1) was not evicted from the facility and left the facility because their health care needs were greater than the level of care offered by the facility. Interview with resident (R1) responsible party reflected that the R1 health care needs exceeded the services the facility could provide, and the decision to move the resident was made in the residents best interest after determining that the resident required a higher level of care. Furthermore, R1’s responsible party stated that the facility did not evict the resident from the facility. This allegation could not be corroborated due to lack of information and evidence therefore the allegation is unsubstantiated. The investigation revealed the preponderance of evidence standards have not been met; therefore, the above allegations are found to be UNSUBSTANTIATED . A finding that the complaint allegations are UNSUBSTANTIATED means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. This was observed not in compliance with Title 22 regulation 87465(h)(2) Incidental Medical and Dental Care. As the facility did not ensure that residents medication were safely stored and safeguarded, which resulted in medications being missing from the facility. As a result, this allegation is SUBSTANTIATED . A finding that the complaint is substantiated means that the allegations are valid because the preponderance of the evidence standard has been met. Deficiencies cited on the LIC 9099-D, per Title 22 Regulations. An exit interview was conducted with Kimberly and Joseline and a copy of the LIC 9099, LIC 9099-D pages and appeal rights were provided to facility.

Citations

5 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.

  • 87465(h)(2)Type A

    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.

  • 87303(a)Type B

    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.

  • 87303(a)(1)Type B

    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.

  • 87411(c)Type B

    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(b)(2)Type A

    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.

FAQ · About this visit

Common questions about this visit

What happened during the December 19, 2025 inspection of LAKEWOOD VILLA CARE CENTER?

This was a complaint inspection of LAKEWOOD VILLA CARE CENTER on December 19, 2025. 1 citation were issued: 1 Type A (serious).

Were any citations issued to LAKEWOOD VILLA CARE CENTER on December 19, 2025?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally s..."

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.