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Inspection visit

Follow-up on corrections

MISSION VILLA SENIOR LIVINGLicense 4156010461 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On January 9, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced case management visit in relation to complaint #: 14-AS-20240717162214. LPA met with Resident Services Director, Mary Anne Rodriguez and explained the purpose of the visit. During the complaint visit, it was found that Resident 1's (R1's) file was incomplete. LPA did not observe any completed reappraisals, service plans, and pre-admission appraisal in R1's file. According to the current administrator, he was not the administrator at the time when the complaint was filed. The Resident Services Director indicated, she was not employed with the facility during the time of R1's admission. Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC9099-D. Failure to correct the deficiencies may result in civil penalties. Failure to correct said deficiencies may result in additional civil penalties. Report is reviewed with Resident Services Director and a copy is provided.

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.

  • 87464(f)(1)Type A

    Care and supervision as defined by statute and rules

    87464 Basic Services: (f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c).This requirement is not met as evidenced by: Based on medical records reviewed, the resident was found to have a diganosis of dehydration and UTI when admitted to the hospital which resulted in the resident needing multiple doses of IV fluids while at the hospital. This finding poses an immediate health a safety risk to the resident in care.

  • 87506(a)Type A

    Maintain separate complete record for each resident

    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 staffThis regulation is not met as evidenced by: Based on R1's file reviewed, there were no completed reappraisals, no service plans, pre-admission appraisal, functional capacilities in the file.

FAQ · About this visit

Common questions about this visit

What happened during the January 9, 2025 inspection of MISSION VILLA SENIOR LIVING?

This was an other inspection of MISSION VILLA SENIOR LIVING on January 9, 2025. 1 citation were issued: 1 Type A (serious).

Were any citations issued to MISSION VILLA SENIOR LIVING on January 9, 2025?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87464 Basic Services: (f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 8710..."

What type of inspection was this?

This was an 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.