Crest Villa
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State Inspection History
State Inspections
Source: CA Community Care Licensing Division
Dec 3, 2025Follow-up
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.
The facility failed to submit a written report to the licensing agency regarding a medical emergency for Resident #1 (R1) within seven days of the incident's occurrence. This poses a potential risk to the resident's welfare, safety, or health.
Apr 9, 2025Follow-up
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.
Monitoring the activities of the residents while they are under the supervision of the facility to ensure their general health, safety, and well-being. This was cited as a deficiency because staff failed to ensure proper supervision of residents, posing an immediate risk.
Based on interviews, the licensee failed to meet this requirement by not ensuring staff were properly supervising residents, which poses an immediate health, safety or personal rights risk to persons in care.
Apr 9, 2025Routine
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 facility was observed with cleaning supplies, scissors, and a hammer unlocked and accessible to residents in care, which poses an immediate risk.
Medication Administration Record (MAR) for Resident #1 (R1) was not documented for AM medication, posing an immediate risk.
Records for R4, R5, R6, and R7 lack a completed Needs and Services plan, which could impact the care provided.
Records for R1, R2, R3, and R5 are missing a completed Pre-Placement Appraisal, which could impact the care provided.
Records for R1, R2, R3, R5, R6, and R7 lack a Functional Capabilities Assessment, which could impact the care provided.
Resident #1 (R1) is missing a completed Reappraisal form, which could impact the care provided.
Resident #1 (R1) is missing an updated Physician Report, which could impact the care provided.
Resident #5 (R5) is missing a completed and signed Admission Agreement, which could impact the care provided.
Mar 26, 2025Follow-up
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.
A written report must be submitted to the licensing agency within seven days of the occurrence of any unexplained absence of any resident.
Mar 26, 2025OtherCleanReport
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.
Mar 26, 2025Complaint
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.
A deficiency was cited regarding staff supervision, specifically related to a resident leaving the facility unsupervised.
Mar 26, 2025ComplaintCleanReport
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.
Mar 26, 2025ComplaintCleanReport
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.
Ownership & Operations
Who Operates This Facility
Crest Villa LLC
RAMASAR, OSCAR
Contact
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