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Inspection visit

Routine inspection

MISSION VILLALicense 4258502042 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced Annual Required Inspection of the facility. At the time of arrival, there were two (2) care staff, one (1) housekeeper, and (1) Food Service Manager on duty and thirteen (13) residents in care. LPA met with Emily Gerr, Administrator and explained the purpose of the visit. Entrance interview conducted: The facility is a one-story Residential Care Facility for the Elderly (RCFE) with a capacity of fifteen (15) residents. The facility is a memory care facility for residents with a dementia diagnosis. The facility has a fire clearance for fifteen (15) non-ambulatory residents and a hospice waiver for six (6) residents. There are five (5) residents currently on hospice. LPA toured the facility with Administrator Emily Gerr. The facility consists of a large common area used for dining and activities. Equipment and supplies are kept in a locked cabinet located in the hallway of the facility. Residents participate at will in activities such as board and card games, arts and crafts and walks around the facility. LPA observed a comfortable room temperature throughout the facility. LPA observed the living room and dining area to be neat and clean. The kitchen area consists of two sinks, a dishwasher, refrigerator, freezer, stove/oven, microwave, coffee makers, toasters, fresh juice machine, mixer/blender, waffle iron and two dishwashing machines. LPA observed a sufficient amount of perishables for two days and non-perishables for seven days available to residents in care. Please continue to 809-C, Pg 2. The physical environment was checked for cleanliness and condition. Walls, windows, ceilings, doors, floors, and floor coverings were checked. There are three (3) fire extinguishers on the premises last serviced on 3/31/2025. There are approximately four (4) smoke alarms and one (1) carbon monoxide detector all in good working order. LPA reviewed residents records and noted on file are Emergency face sheets, Admission Agreements, Appraisals/Re-Appraisals, Needs and Services Plans, and health screenings. LPA noted one resident’s admission agreement was unsigned and one resident does not have a current admission agreement on file. Technical violation issued. LPA reviewed personnel records and noted not on file are verification(s) of staff trainings and/or orientations of six out six staff members. LPA noted all staff members have current First Aid/CPR certification, current health screenings, and background clearance records. Due to time restraints, LPA will return at a later date to continue the inspection. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D): Exit interview conducted. Copy of report and appeal rights issued at the time of the visit.

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.

  • 87412(a)Type B

    Maintain required personnel records for staff

    Based on record review the licensee did not comply with the section cited above as LIC501 in Staff 1’s (S1’s) file was incomplete which poses a potential health, safety, or personal rights risk to residents in care.

  • 87412(c)Type B

    Document required staff training and orientation

    Based on record review the licensee did not comply with the section cited above as Licensee was unable to provide verification that staff trainings and/or orientations have been conducted and/or documented which poses a potential health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 28, 2026 inspection of MISSION VILLA?

This was an inspection of MISSION VILLA on January 28, 2026. 2 citations were issued: 2 Type B.

Were any citations issued to MISSION VILLA on January 28, 2026?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "Based on record review the licensee did not comply with the section cited above as LIC501 in Staff 1’s (S1’s) file was i..."

What type of inspection was this?

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

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