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Inspection visit

Routine inspection (multi-day)

SAFE HAVEN VILLA CARE HOMELicense 4356010183 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

LIcensing Program Analyst (LPA) Maria (Mita) Partoza, conducted an unannounced visit to continue the facility required 1-year inspection, met with the licensee/administrator (LIC/ADM) Thelma Llanes and stated the purpose of the visit. The purpose of today's visit is to issue citations based on the deficiencies that was observed during last visit that was conducted on 10/17/2025. Based on record review 4 out of 4 resident record is missing personal rights, 2 out of 4 has no TB on record, 2 out of 4 are missing medical assessment, 4 out of 4 are missing pre-admission appraisal forms, 1 out of 4 is missing the Centrally Stored Medication and Destruction Record (CSMDR), 4 out of 4 is missing the personal valuable list. 2 Out of 4 resident does not have an updated appraisal needs and services plan. 4 Out of 4 does not have the emergency identification sheet. 4 Out of 4 does not have the consent form to release medical information in the event of an emergency. Based on record review LIC/ADM could not provide proof of the emergency preparedness and disaster training. 1 out of 2 does not have a 1st Aid/CPR training 1 out of 2 does not have on boarding training, 2 out of 2 have does not possess an updated training for care of residents with dementia. Last training was administered on June 2019 for facility staff. Deficiencies were cited during today's visit based on California Code of Regulations (CCR) Title 22. See LIC9099-D. An exit interview was conducted with LIC/ADM Thelma Llanes, a copy of the report was provided. end of report.

Citations

3 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.

  • 1569.695(c)Type A

    Based on record review the licensee did not comply with the section cited above by not conducting a drill for each shift, the type of emergency covered under HSC 1569.695. LIC/ADM do not have proof of training and have stated that the training has not been provided for almost a year. Which poses an immediate health, safety or personal rights risk to persons in care.

  • 87458(c)(1)(A-D)Type A

    Based on record review the licensee did not comply with the section cited above by not providing medical assessment for 2 residents (R2 & R4) and 1 staff (S2) with results of examination for the following communicable tuberculosis, Infections diseases, contagious diseases and other medical condition which poses an immediate health, safety or personal rights risk to persons in care.

  • 87705(b)(1)Type A

    Based on document review, the licensee did not comply with the section cited above by not ensuring staff are receiving the following training as part of the training requirement specified in Section 87208 Plan of Operation. S1 training was given in 2019 and S2 does not have onboarding training since S2 started at the facility in July of 2024, 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 October 24, 2025 inspection of SAFE HAVEN VILLA CARE HOME?

This was an other inspection of SAFE HAVEN VILLA CARE HOME on October 24, 2025. 3 citations were issued: 3 Type A (serious).

Were any citations issued to SAFE HAVEN VILLA CARE HOME on October 24, 2025?

Yes, 3 citations were issued (3 Type A, 0 Type B). The first citation was for: "Based on record review the licensee did not comply with the section cited above by not conducting a drill for each shift..."

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.