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Inspection visit

Follow-up on corrections

NEW WORLD VILLA SOUTHLicense 3746048203 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Managers (LPMs) Robyn Clark and Lizzette Tellez conducted an unannounced case management deficiencies visit. LPMs were met by Staff 1 (S1), Evangeline Pingul, and were granted entry into the facility. The purpose of the visit was discussed with facility staff. During today's visit, LPMs, along with facility staff, conducted a brief tour of the facility, observed residents in care, and reviewed facility/resident records. Three residents (R1-R3) did not have information or forms as required including LIC 602 (Physicians Report) or LIC 601 (Emergency Identification and Information). Two residents (R4 and R5) did not have information or forms required for their medical assessment (LIC 602 Physicians report, or similar). During the visit, LPM Clark inspected facility time sheet records which indicated that five additional staff members (S2-S6) had time sheets indicating that they had recently worked in the facility. A review of Guardian indicated that only three of those staff members (S1-S3) had active Background Clearance associations to the facility. LPM Clark interviewed Staff 7 (S7) regarding the staff members and S7 reported that they had only worked in the facility for a few weeks and had never met S4, S5, or S6. LPMs conducted a further review of the Guardian Background Clearance System in an attempt to identify the staff members named in the time sheet log. A name search for S4 revealed no results or indications of an active clearance. S5 was discovered with an active clearance however they were associated to a different facility licensed by the Department. [continued on LIC 809(c)]. S6 was associated to the facility on 7/21/2025, however, they were noted as "not hired due to criminal history check." Inspection of facility timesheets indicated that S6 worked in the facility on 7/22/25, 7/23/25, 7/24/25, 7/28/25, 7/29/25, 7/30/25, 7/31/25, and 8/4/2025 despite failing to clear their background check. Deficiencies were cited on the attached LIC 809(d) and Civil Penalties assessed and noted on the LIC421BG. An exit interview was conducted with staff Rivera, and a copy of this report along with Licensee/Appeal Rights were provided at the conclusion of the visit. Their signature on this report acknowledges receipt of these reports and licensee rights.

Citations

5 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.

  • 87506(a)Type B

    87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement was not met as evidenced by: Based on record review, resident records were incomplete for 5 Residents (R1-R5), which poses a potential health, safety and personal rights risk for 5 of 5 residents in care.

  • 87309(a)Type A

    87309 Storage Space and Access (a) ...the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances... sharp objects, and other... items which could pose a danger... are... not left unattended if outside the locked storage. This requirement was not met as evidenced by: Based on observation, the licensee did not ensure that rubbing alcohol, injection needles, and lysol were locked and inaccessible to residents which poses an immediate health, safety and personal rights risk to 5 of 5 residents in care (R1-R5).

  • 87465(a)(5)Type A

    87465 INCIDENTAL MEDICAL AND DENTAL CARE (a) (5)Facility staff... shall not administer injections... This requirement was not met as evidenced by: Based on observation and record review, the licensee did not ensure that an appropriately skilled professional administered medications to 1 (R5) of 5 residents in care. This posed an immediate health, safety and personal rights risk to R5.

  • 87355(e)(2)Type A

    87355 Criminal Record Clearance (e) All individuals subject to a criminal record review... shall prior to working... 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 record review, the licensee did not ensure that a criminal record clearance was obtained for 2 of 7 staff members (S4 and S6) prior to working in the facility, which poses an immediate health, safety and personal rights risk to 5 of 5 residents in care.

  • 87355(e)(3)Type A

    87355 Criminal Record Clearance (e) All individuals subject to a criminal record review... shall prior to working, residing or volunteering in a licensed facility (3) Request a transfer of a criminal record clearance... This requirement was not met as evidenced by: Based on record review, the licensee did not ensure that a criminal record clearance transfer was complete for 1 of 7 staff members (S5) prior to working in the facility, which poses an immediate health, safety and personal rights risk to 5 of 5 residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 28, 2025 inspection of NEW WORLD VILLA SOUTH?

This was a other inspection of NEW WORLD VILLA SOUTH on August 28, 2025. 3 citations were issued: 2 Type A (serious) and 1 Type B.

Were any citations issued to NEW WORLD VILLA SOUTH on August 28, 2025?

Yes, 3 citations were issued (2 Type A, 1 Type B). The first citation was for: "87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for eac..."

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 CCLDView original report

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