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Inspection visit

complaint

BONITA VILLA SENIOR LIVINGLicense 3746045441 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

OS explained that medtechs were calling the wrong number and leaving messages. OS later learned that the medtechs had the correct number but were transposing digits when making calls. OS stated that in the past few months, everything has been fine with the facility and R1. LPA interviewed R1, who stated that facility staff are in regular contact with RP. R1 confirmed that they had COVID some time ago and were sent to the hospital. R1 stated that staff advised RP about the COVID diagnosis. LPA interviewed the Resident Services Director (RSD), who stated that this incident occurred before they were hired. RSD explained that the medtech responsible for communication at the time was terminated and no longer works at the facility. RSD believed RP was informed of R1’s COVID diagnosis. RSD stated that an incident report was never generated or submitted to CCL. LPA interviewed Staff 1 (S1), who stated that they never spoke directly with RP but left a voicemail requesting more disposable undergarments for R1. S1 recalled RP later saying they were never told about R1 having COVID when they came to visit. LPA reviewed R1’s records and noted that R1 has a primary diagnosis of bladder cancer, is listed as having dementia, and their physical health status is documented as poor. Chart notes from March 2025 through October 2025 were reviewed. On August 1, 2025, notes show that R1 tested positive for COVID and that RSD and the Memory Care Director were notified. Later that same day, S1 documented that they informed RP about the need for more disposable undergarments. However, there is no clear documentation showing that RP was informed of R1’s COVID diagnosis. Based on interviews and record review, there is evidence that R1 tested positive for COVID and was hospitalized. RP indicated they were not properly notified and facility staff confirmed that they never spoke directly to RP. An incident report was never submitted to CCL. There is sufficient evidence to meet the preponderance of evidence standard. Therefore, the above allegation is deemed to be substantiated. California Code of Regulations, Title 22, Division 6, chapter 8 is being cited on the attached LIC9099-D. The report was discussed, plan of correction was jointly developed, and an exit interview was conducted with Business Office Manager Raymie Cruz A copy of this report, along with Licensee/Appeal Rights (LIC9058 3/22) was provided to Raymie Cruz at the conclusion of the visit. The signature below confirms the receipt of these documents.

Citations

1 citation 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.

  • 87211(a)(1)(b)Type B

    (a) Each licensee shall furnish to the licensing agency such reports as the Department may require...A written report shall be submitted to the licensing agency and to the person responsible for the resident...Any serious injury as determined by the attending physician...This requirement was not met due to: R1 tested positive for COVID. Facility records show internal staff were notified, but RP was not informed of the diagnosis. CCL did not receive an incident report. Failure to notify RP of a significant change in condition violates reporting requirements and poses a health, safety and personal rights risk.

FAQ · About this visit

Common questions about this visit

What happened during the February 12, 2026 inspection of BONITA VILLA SENIOR LIVING?

This was a complaint inspection of BONITA VILLA SENIOR LIVING on February 12, 2026. 1 citation were issued: 1 Type B.

Were any citations issued to BONITA VILLA SENIOR LIVING on February 12, 2026?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "(a) Each licensee shall furnish to the licensing agency such reports as the Department may require...A written report sh..."

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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