Skip to main content
ReadyRule homepageReadyRule

Inspection visit

Routine inspection

SAN MATEO VILLALicense 4156000802 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On June 9, 2022, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual infection control inspection. Upon arrival LPA observed the COVID signage postage on the front door. LPA Charitra was greeted by Caregiver, Emely De La Cruz and Administrator, Elizabeth Viducich joined shortly thereafter. LPA explained the purpose of the visit and was screened at entry point, however there was no visitor sign in log. Caregiver was unable to provide screening log documentation for staff, residents and visitors. LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. This is a single story with 7 bedrooms (6 private rooms for residents with a half bath in each room and 1 staff room), and 1 full bathroom. LPA observed the bathrooms to be equipped with liquid hand soap and hand washing signs. LPA advised Adminsitrator to ensure all bathrooms have the following; paper-towels and a covered trash bin. LPA Charitra indicated that hand-towels and bath-towels should not be present in the shared bathrooms. LPA toured the kitchen and advised Administrator to switch out hand-towels for paper-towels and disinfectant wipes. LPA observed 2 day perishable and 7 day non-perishable. LPA observed the 30-day PPE supply. Medications and toxins are stored appropriately and inaccessible to residents, however LPA observed sharps drawer to be unlocked and accessible to residents. A comfortable temperature is maintained, lighting is sufficient for comfort. First aid kit was observed to be completed. Extra linen was observed to be present. Deficiency of the Residential Care Elderly California Code of Regulations, Title 22, Division 6 is observed and cited on a LIC 809D. Failure to correct the deficiencies may result in civil penalties. This report is reviewed and discussed with Administrator; a copy is provided with appeals rights.

Citations

2 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.

  • 87468.1(a)(2)Type B

    Safe, healthful, comfortable accommodations

    Based on observation, the facility failed to provide documentation for the daily residents and staff members screening log; the facility failed to provide documentation for the visitor's screening log.

  • 87705(f)(1)Type A

    Notify agency before locking doors or gates

    Based on observations, the facility failed to lock the knives or store them appropratiely so it is inaccesible to residents which poses an immediate health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the June 9, 2022 inspection of SAN MATEO VILLA?

This was an inspection of SAN MATEO VILLA on June 9, 2022. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to SAN MATEO VILLA on June 9, 2022?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "Based on observation, the facility failed to provide documentation for the daily residents and staff members screening l..."

What type of inspection was this?

This was an inspection. Inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

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