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Inspection visit

Complaint

RANCHO SANTA FE VILLALicense 3746031253 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

These interviews, including the administrator and S1, corroborated S1 was asked to work for the facility for two days, while regular care staff were off. Review of the Department’s background clearance database revealed S1 was not associated to the facility and did not have a background clearance. Based on the evidence obtained, the deficiency was cited in an LIC 9099-D form. An immediate two hundred dollar ($200) civil penalty was assessed in an LIC 421BG form. It was alleged required postings were not visible. It was reported to the Department the required postings, including the Department’s “If you see something, Say something” poster, were posted in a section of the facility the residents did not use. Interviews with staff, including the administrator, confirmed the section of the facility where the postings were was not regularly used by residents. The area was used for meetings. The LPA observed some of the postings were not visible. The deficiency was cited in an LIC 9099-D form. It was alleged the facility did not conduct emergency drills. It was reported to the Department residents had not participated in emergency drills. Interviews with several staff revealed the facility conducted drills every three months. The type of drills varied between fire, and earthquake emergencies. Review of records revealed the facility documented the date of the drill, and staff who participated, but not the time. An interview with the administrator revealed the facility did not conduct drills on every scheduled shift. Per regulations, the residents are not required to participate in emergency drills, but the facility must conduct drills at least quarterly for each shift. This deficiency was cited in an LIC 9099-D form. Plans of Corrections (POCs) were jointly formulated with Administrator Baha. An exit interview was conducted with Baha, to whom a copy of this report, LIC 9099D forms, LIC 421BG, LIC 811, and Licensee/Appeals Rights (LIC 9058), were provided.

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.

  • 1569.695(c)Type B

    §1569.695 Emergency Plans (c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is notrequired during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement was not met as evidenced by: Based on review of records and interviews, the Licensee did not ensure emergency drills were conducted for each shift, which posed a potential health, safety, and personal rights risk to 4 residents in care.

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  • 87355(e)(2)Type A

    Obtain required California clearance or exemption

    87355 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Obtain a California clearance or a criminal record exemption as required by the Department... This requirement was not met as evidenced by: Based on interviews, and review of records, the Licensee did not ensure S1 had a criminal records clearance, which posed an immediate health, safety, and personal rights risk to 4 residents in care.

  • 87468.2(a)(10)Type B

    87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights:(10)...regarding grievances in regard to the licensee. The licensee shall post the telephone numbers and addresses for the local offices of the State Department of Social Services and ombudsman program, according to Section 9718 of the Welfare and Institutions Code, conspicuously in the facility foyer, lobby, residents’ activity room, or other location easily accessible to residents and their representatives. This requirement was not met as evidenced by: Based on interviews and observations, the Licenssee did not ensure these postings were conspicuously posted where residents could see them, which posed a potential health, safety and personal rights risk to 4 residents in care.

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FAQ · About this visit

Common questions about this visit

What happened during the April 11, 2025 inspection of RANCHO SANTA FE VILLA?

This was a complaint inspection of RANCHO SANTA FE VILLA on April 11, 2025. 3 citations were issued: 1 Type A (serious) and 2 Type B.

Were any citations issued to RANCHO SANTA FE VILLA on April 11, 2025?

Yes, 3 citations were issued (1 Type A, 2 Type B). The first citation was for: "§1569.695 Emergency Plans (c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency ..."

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.