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Inspection visit

Routine inspection

HIDDEN LANE VILLALicense 4352013062 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required - 1 Year visit and met with Mercy Calilung, care giver. During visit, LPA Marrufo toured the facility inside and out. LPA Marrufo toured the facility kitchen area and observed there to be a perishable food supply of at least two days and a non-perishable food supply of at least seven days. LPA Marrufo toured two out of two hallway bathrooms and observed the water temperatures in the sinks to be 107 F and 109 F. Each bathroom had available soap and paper towels as well as working lights. LPA Marrufo toured six out of six bedrooms and observed there to be functioning lights in each room as well as available bedding and clothing storage areas. The smoke detectors in each bedroom and in the hallways all functioned properly when tested. LPA Marrufo toured the outside area and found the outside exit was clear of obstructions. LPA Marrufo reviewed resident and staff records for residents R1-R6 and staff S1-S3. During record review, LPA Marrufo observed resident R3 was missing a Physician's Report and residents R1 and R6 were missing Safeguard for Property/Valuables forms. Deficiencies were cited as per California Code of Regulations Title 22. This report was reviewed with Mercy Calilung and a copy of this report and appeal rights were 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.

  • 87506(b)(16)Type B

    During record review of resident R1-R6’s records, residents R1 and R6 has missing Safeguard for Property/Valuables forms, which poses a potential safety risk to residents in care.

  • 87506(b)(10)Type B

    Licensee did not ensure that during review of R1-R6’s resident records, resident R3’s resident record contained a Medical Assessment (Physician’s Report), which poses a potential safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 12, 2024 inspection of HIDDEN LANE VILLA?

This was a inspection inspection of HIDDEN LANE VILLA on April 12, 2024. 2 citations were issued: 2 Type B.

Were any citations issued to HIDDEN LANE VILLA on April 12, 2024?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "During record review of resident R1-R6’s records, residents R1 and R6 has missing Safeguard for Property/Valuables forms..."

What type of inspection was this?

This was a inspection inspection. inspection 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.