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Source: CA Community Care Licensing Division
FACILITY EVALUATION REPORT
COMPLAINT INVESTIGATION REPORT
The unannounced Case Management visit on 12/03/2025 was conducted following a complaint. The primary finding was the facility's failure to adhere to required reporting procedures for a past medical emergency involving Resident #1. This resulted in one Type B deficiency citation.
COMPLAINT INVESTIGATION REPORT
The unannounced case management visit on 04/09/2025 resulted in citations for deficiencies related to resident supervision. Specifically, the facility was cited under HSC 1569.31(e) for failing to ensure staff were properly supervising residents. These deficiencies are classified as Type A, indicating an immediate risk to the health, safety, or personal rights of the persons in care.
The unannounced case management visit on 04/09/2025 resulted in citations for deficiencies related to resident supervision. Specifically, the facility was cited under HSC 1569.31(e) for failing to ensure staff were properly supervising residents. These deficiencies are classified as Type A, indicating an immediate risk to the health, safety, or personal rights of the persons in care.
The inspection report indicates that the visit was conducted on March 26, 2025, for Case Management purposes. The Licensing Program Analyst was unable to print copies of required forms (LIC9099, LIC9099-C, and LIC9099-D) due to technical issues. The analyst reviewed the findings with the administrators and will provide the necessary documents at a later time.
The inspection report indicates that the visit was conducted on March 26, 2025, for Case Management purposes. The Licensing Program Analyst was unable to print copies of required forms (LIC9099, LIC9099-C, and LIC9099-D) due to technical issues. The analyst reviewed the findings with the administrators and will provide the necessary documents at a later time.
Crest Villa LLC
RAMASAR, OSCAR
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