Inspection visit

Pre-licensing visitAugust 30, 2023

LOTUS VILLA AND MEMORY CARELicense 3655301028 citations on this visit

8 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analysts (LPAs) Paola Guerrero and Ryan Gardner conducted an announced pre-licensing visit to facility. LPAs met with Facility Operation Manager Eli Goldman. The pending application is for a Residential Care Facility for Elderly (RCFE) for ninety-three (93)- non ambulatory and six (6) bedridden. Operation Manager accompanied LPAs on a tour of the inside and outside of the facility. During today’s inspection the following areas need corrections: Physical Plant/Environmental Safety - x2 lights in dining room #1 not working; x1 lights not working in dining room #2. Second floor outside room #214 partially collapsing. X2 broken windows on 2nd floor. Hallway light missing cover. Second floor entry door to staff break room had battery exposed on auditory device. Water temperature in rooms is below temperature lowest reading 85.1 F highest 96.6 F. Main restroom near dining room#1 hot water not working. Dining Room #1 emergency exit was blocked with chairs and door was locked. Memory Lounge Room exit door was blocked with recliner chair. Outside gate was locked with master lock. Laundry Room was unlocked, unsecure bleach was left in laundry room, maintenance room was unlocked, exposed chemical (fabuloso) was left unsecure. Master lock in placed on exterior gate. Lock was removed during inspection. During inspection LPA observed master lock on exterior gate. Licensing was not notified exterior locks will be placed on exterior gate door. CCL office has not received approval of exterior lock being placed on exterior gate door. total of six non-auto closing fire doors were propted open with door stoppers. Dementia care unit does not have auditory devices on windows. Personnel Records/Staff - 1 out 5 Caregivers missing CPR trainings in personnel record. Caregivers are associated to facility and cleared; however, criminal record clearance is not in personnel records. During todays visit, the facility was issued seven (8) deficiencies. Pre-licensing is incomplete with deficiencies to be resolved by 9/29/23. A follow-up pre-licensing visit will be scheduled upon resolution of deficiencies. An exit interview was conducted, and a copy of this report was provided to Facility Operation Manager Eli Goldman.

Citations

8 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 A
Based on observation, the licensee did not comply with the section fire safety; total of six non-auto closing fire doors were propted open with door stoppers, which poses an immediate health, safety or personal rights risk to persons in care.
87303(a)Type B
Based on observation, the licensee did not comply with the section maintenance and operation; x2 lights in dinning room #1 not working; x1 lights not wokring in dining room #2. Second floor outside room #214 partially collapsing. X2 broken windows on 2nd floor. Hallway light missing cover. Second floor entry door to staff break room had battery exposed on auditory device which poses/posed a potential health, safety or personal rights risk to persons in care.
87303(e)(2)Type B
Based on observations, the lincensee did not comply with the section maintenance and operation; Water temperature in rooms are below temperature, lowest reading 85.1 F highest 96.6 F. Main restroom near dining room#1 hot water not working temperature reading was at 76.5 F and dining room #2 sink was broken (No hot running water) not allowing LPA to measure water temperature which poses/posed a potential health, safety or personal rights risk to persons in care.
87307(d)(6)Type A
Based on observation, the licensee did not comply with personal accommodations and by blocking interior emergency door exits with a dining room chair and a reclining chair; in, addition LPA observed a master lock on exterior exit gate which poses an immediate health, safety or personal rights risk to persons in care.
87355(j)Type B
Based on observation, the licensee did not comply with the section cited above; caregivers are associated to facility and cleared however, criminal record clearance is not in personnel records.which poses/posed a potential health, safety or personal rights risk to persons in care.
87412(g)Type A
Based on observation, the licensee did not comply with personnel Records 1 out 5 Caregivers missing CPR trainings in personnel record which poses an immediate health, safety or personal rights risk to persons in care.
87705(j)Type A
Based on observation, the licensee did not comply with the section Care of Persons with Dementia; By not having auditory devices on windows which poses an immediate health, safety or personal rights risk to persons in care.
87309(a)Type B
Based on observation, the licensee did not comply with the storage pace section. Laundry Room on assisted living side was unlocked, unsercure bleach was left in laundry room, maintanence room was unlocked, exposed chemical (fabuloso) was left unsecure. which poses/posed 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 August 30, 2023 inspection of LOTUS VILLA AND MEMORY CARE?

This was a other inspection of LOTUS VILLA AND MEMORY CARE on August 30, 2023. 8 citations were issued: 4 Type A (serious) and 4 Type B.

Were any citations issued to LOTUS VILLA AND MEMORY CARE on August 30, 2023?

Yes, 8 citations were issued (4 Type A, 4 Type B). The first citation was for: "Based on observation, the licensee did not comply with the section fire safety; total of six non-auto closing fire doors..."

What type of inspection was this?

This was a other inspection. other 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.

Pre-licensing visit·August 30, 2023