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Inspection visit

Routine inspection

WILLOW CREEK MANORLicense 3470040613 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Cassandra Mikkelson arrived unannounced and met with Care staff Pamela Flemming to conduct an annual inspection utilizing the inspection tool. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. LPA observed resident rooms, common area bathrooms, kitchen, common areas and perimeter of care facility. LPA observed rooms to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition and properly maintained. LPA checked the kitchen area for the ability to prepare and store food. Care home has required (2) two day perishable and (7) seven day non-perishable food supply on hand. Fire extinguishers and first aid kit are maintained and ready for emergency use. LPA checked medication storage and found medications to be locked away and inaccessible to the residents. LPA reviewed six (6) resident files, two (2) staff files and resident medications. Facility has a current copy of certificate of liability insurance and LPA requested a copy. As a result of this visit, deficiencies were cited pursuant to California Code of Regulations, Title 22, Division 6, Chapter 8. Deficiencies are listed on 809-D pages. Exit interview was conducted. A copy of this report and appeal rights were provided. Signatures on these forms acknowledges receipt of these documents.

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.

  • 87203Type B

    Based on observation, the licensee did not ensure all fire alarms are operational in the facility which poses a potential health, safety or personal rights risk to persons in care.

  • 87506(b)(10)Type B

    Based on records reviewed , the licensee did not ensure all residents have current LIC602 physician's reports present in their files which poses a potential health, safety or personal rights risk to persons in care.

  • 87555(b)(8)Type B

    Based on observations, the licensee did not ensure there was no expired food present and available to residents in care 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 23, 2025 inspection of WILLOW CREEK MANOR?

This was a inspection inspection of WILLOW CREEK MANOR on July 23, 2025. 3 citations were issued: 3 Type B.

Were any citations issued to WILLOW CREEK MANOR on July 23, 2025?

Yes, 3 citations were issued (0 Type A, 3 Type B). The first citation was for: "Based on observation, the licensee did not ensure all fire alarms are operational in the facility which poses a potentia..."

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 CCLDView original report

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