Inspection visit

complaintFebruary 22, 2026

BELMONT VILLAGE CARDIFFLicense 3746032314 citations on this visit

4 citations recorded

Inspector’s narrative

What the inspector wrote

Regarding the allegation Licensee did not arrange or assist medical care for resident. On 06/19/2021 at 7:30 a.m., staff contacted R1’s responsible party and informed them that R1 had fallen, but did not disclose that R1 had been on the floor all night or that pendant response was delayed. Facility staff did not arrange immediate medical evaluation following the fall. Instead, the responsible party transported R1 to the hospital several hours later, where R1 was admitted with a spinal cord injury. Based on interviews conducted and hospital admission records, the facility did not ensure timely medical care was arranged for R1 after a known fall incident. The preponderance of evidence standard has been met. Therefore, the above allegation is found to be SUBSTANTIATED. Regarding the allegation Facility did not provide adequate lighting. During the 06/18/2021 blackout, R1’s apartment did not have access to backup lighting. The only available fluorescent light in the bathroom did not illuminate the remainder of the unit. R1 attempted to locate their walker and pendant in complete darkness, resulting in a fall. Staff and supervisory personnel confirmed the facility did not have a generator or battery-operated lighting accessible to residents during the blackout. Facility policy requires ensuring resident safety during emergencies; however, residents were not provided adequate lighting. The preponderance of evidence standard has been met. Therefore, the above allegation is found to be SUBSTANTIATED. Regarding the allegation Licensee did not follow reporting requirements. Records review and interviews confirmed that the facility did not notify the licensing agency of R1’s fall, extended time on the floor, or hospitalization. Supervisory staff were also not immediately informed of the blackout and fall until contacted by the responsible party. Based on interviews and documentation reviewed, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be SUBSTANTIATED. The following deficiencies are being cited (see LIC 9099D) from the California Code of Regulations, Title 22, and the California Health and Safety Code. This incident is currently under review and a future civil penalty may apply based on H&S Code section 1569.49(f). Failure to correct the deficiencies may result in additional civil penalties. Exit interview conducted with facility Executive Director, Wes Lavander, and appeal rights provided.

Citations

9 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.

87211Type B
87211 — Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: The following requirement has not been met as evidenced by: The facility did not timely report R1’s fall, overnight time on the floor, or subsequent hospitalization to the licensing agency. Supervisory staff were also not promptly notified of the outage and incident until contact by the responsible party the following day, which poses a potential, health, safety, or personal rights risk to residents in care.
87303(d)Type A
87212 Emergency Disaster Plan(a) Each facility shall have a disaster and mass casualty plan of action. The plan shall be in writing and shall be readily available.The following requirement has not been met as evidenced by: The facility did not have emergency adequate lighting in resident 1's room possibly contributing to a fall sustaining injuries, which poses an immediate health, safety, or personal rights risk to residents in care.
87411(a)Type A
87411 — Personnel Requirements (sufficient, competent staff to meet resident needs at all times) The following requirement has not been met as evidenced by: On 06/18/2021 during a facility-wide power outage, R1 fell in their apartment and remained on the floor overnight without staff assistance until ~0715 on 06/19/2021. Required welfare checks and timely assistance were not provided, resulting in unmet care needs and contributing to a serious injury later diagnosed at the hospital. which poses an immediate, health, safety, or personal rights risk to residents in care.
87464(a)(1)Type A
87465(a)(1) — Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following(1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents.The following requirement has not been met as evidenced by: Following the known fall on the morning of 06/19/2021, facility staff did not arrange timely medical evaluation for R1. The responsible party transported R1 to the hospital several hours later, where a spinal cord injury was diagnosed. Facility did not ensure prompt medical care was obtained. which poses an immediate, health, safety, or personal rights risk to residents in care.
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87211(a)(1)(D)Type A
87211(a)(1)(D) Reporting Requirements – “The licensee shall report by telephone to the licensing agency, local law enforcement, and the responsible person any suspected physical abuse … immediately, or within 24 hours.”The following requirement has not been met as evidenced by: Based on record review, the facility failed to immediately notify law enforcement when Resident #1 disclosed possible sexual abuse on 03/09/22. Law enforcement was not contacted until 03/10/22. This posed an immediate health and safety risk to all residents in care.
87463(a)Type B
87463 Reappraisals – “The licensee shall arrange a meeting with the resident and/or representative when a significant change occurs in the resident’s condition to determine if the facility can continue to meet the resident’s needs.”The following requirement has not been met as evidenced by: Based on file review, residents with dementia and wandering behavior were moved from memory care into assisted living without evidence of reappraisal, while continuing to require memory care services. This resulted in residents not being placed at the appropriate level of care, which poses a potential, health, safety, or personal rights risk to residents in care.
87464(a)(2)Type B
87464(a)(2) Basic Services – Personal Care and Supervision – “Basic services shall at a minimum include: (2) Personal assistance and care as needed by the resident … including assistance with bathing, grooming, dressing, mobility, and other personal needs.”The following requirement has not been met as evidenced by: Based on record review, residents reported not being assisted with showers. This poses a potential, health and safety risk to residents in care.
87468.2(a)(4)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:(4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. The following requirement has not been met as evidenced by: Based on record review, residents reported being left in wheelchairs all day. This poses a potential, health and safety risk to residents in care.
87507Type B
87507 Admission Agreement – “All basic and optional services, rates, and charges shall be specified in the admission agreement. The licensee shall not charge for services that are not provided.”The following requirement has not been met as evidenced by: Based on documentation, residents were charged for memory care services and the “Circle of Friends” program despite not receiving or attending such services. This violates the admission agreement and created a financial burden on residents, which poses a potential, health, safety, or personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the February 22, 2026 inspection of BELMONT VILLAGE CARDIFF?

This was a complaint inspection of BELMONT VILLAGE CARDIFF on February 22, 2026. 4 citations were issued: 3 Type A (serious) and 1 Type B.

Were any citations issued to BELMONT VILLAGE CARDIFF on February 22, 2026?

Yes, 4 citations were issued (3 Type A, 1 Type B). The first citation was for: "87211 — Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department ma..."

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 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.

complaint·February 22, 2026