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Inspection visit

Incident investigation

VILLA CAPRILicense 4968020261 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Prigram Analyst (LPA) Alviso conducted a case management inspection, on 3/18/25 at approximately 3:55pm, and met with Administrator Maria Cortes. LPA met with Gao Yang, Journey Director. The case management is being conducted to review a resident incident that the facility Administrator reported to the Department. LPA reviewed records on the resident (R1) and on staff (S4, S5). LPA obtained additional information on the resident incident, and obtained copies of documentation/records. Required reports were completed, submitted to all required parties. Per interviews and documentation provided by the administration staff, Administrator and Journey Director, stated training has been provided to staff regarding mandating reporter, and training in providing care to the residents; Proof of the training was provided to the LPA. Per review of records, interviews with staff, S1 and S2, and interviews with other related parties, it was identified that staff (S4, S5) inappropriately handled (R1) when trying to provide incontinent care to them, and R1 was refusing care from the staff. (R1) reacted by screaming and kicking at staff when they handled R1 inappropriately. Staff didn't use a different approach and/or stepping away and allowing some time to the resident to be agreeable to the incontinent care needed. The following deficiency will be cited regarding the reported resident (R1) incident and information obtained during today's inspection, 87468.2(a)(4) Additional Personal Rights of Residents in Privately Operated Facilities- In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs, see LIC809D. California Code of Regulations, (Title 22, Division 6, Chapter 8), is being cited. Exit interview conducted with the Administrator Maria Cortes. Appeal Rights Provided to the Administrator.

Citations

1 citation 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.

  • Right to sufficient care and qualified staff

    87468.2(a)(4) Additional Personal Rights of Residents in Privately Operated Facilities- In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement was not met as evidenced by: Per review of records, interviews with staff, S1 and S2, and interviews with other related parties, it was identified that staff (S4, S5) inappropriately handled (R1) when trying to provide incontinent care to them, and R1 was refusing care from the staff. (R1) reacted by screaming and kicking at staff when they handled R1 inappropriately. Staff didn't use a different approach and/or stepping away and allowing some time to the resident to be agreeable to the incontinent care needed. This is a risk to residents personal rights.

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FAQ · About this visit

Common questions about this visit

What happened during the March 18, 2025 inspection of VILLA CAPRI?

This was an other inspection of VILLA CAPRI on March 18, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to VILLA CAPRI on March 18, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87468.2(a)(4) Additional Personal Rights of Residents in Privately Operated Facilities- In addition to the rights listed..."

What type of inspection was this?

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

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