Admission, assessment, and eviction
Cited in 2 reports, with 3 deficiencies in total.
ARCADY VILLA
44334 LIVELY AVE, Lancaster CA 93536
6 bedsLatest official report Mar 2, 2026Licensed
Additional info
- Telephone
- (818) 913-2188
- Licensee
- ARCADY VILLA INC
- Administrator
- CAJAYON, JOJO
- Contact
- CAJAYON, JOJO
- License first date
- Jan 15, 2020
- License effective date
- Jan 15, 2020
- District office
- WOODLAND HILLS S.RO · (818) 596-4334
- Regional office
- 31
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 9 Type A and 10 Type B deficiencies for this facility.
- Most recent inspection
- Mar 2, 2026
- Most recent deficiency
- Mar 2, 2026
No later report is available, so the records do not show what happened afterward.
What Type A and Type B mean
- Type A
- Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
- Type B
- Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 1,564 Los Angeles County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 8 reports for this facility: 6 inspections, 2 complaint investigations, and 0 licensing or administrative records.
Those records contain 9 Type A and 10 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 6
- Recorded deficiencies
- 19
- Type A deficiencies
- 9
- Type B deficiencies
- 10
- Substantiated complaints
- 1
- Repeated topics
- 2
More than the typical 4
1 in the last 12 months
Well above the typical 1
3 in the last 12 months
Most this size have none
0 in the last 12 months
Most this size have none
3 in the last 12 months
Most this size have none
0 in the last 12 months
Last 36 months
Repeated topics
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
Staffing, personnel, and training
Cited in 2 reports, with 2 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above in three (3) out of five (5) residents not having re appraisals documented which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/13/2026 Plan of Correction The Administrator will conduct re appraisals for Resident #2 (R2), Resident #4 (R4) and Resident #5 (R5) and provide copies to the Department by POC due date 03/13/2026.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87421(c)
- Regulation authority
- CCR
What the official deficiency says
87421 Personnel Records (c) Licensees shall maintain in the personnel records verification of required staff training and orientation. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above in one (1) out of two (2) staff did not have documentation of the required annual training which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/13/2026 Plan of Correction The Administrator will document all staff training and submit proof of completed training to the Department by the POC due date of 03/13/2026.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
1569.695 Emergency Plans (c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above in that the facility failed to conduct an emergency drill at least quarterly for each shift which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/06/2026 Plan of Correction Administrator will conduct a drill for each shift and documentation of the drill shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. The documentation will be submitted to the Department by POC due date 03/06/2026.
Plan of correction recorded
Correction not verified in available records
Inspection
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(4)
- Regulation authority
- CCR
What the official deficiency says
(h) The following requirements shall apply to medications which are centrally stored: (4) All centrally stored medications shall be labeled and maintained in compliance with state and federal laws. No persons other than the dispensing pharmacist shall alter a prescription label. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above in one (1) medication for resident #1 (R1) that had medication label altered with no documentation which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/30/2025 Plan of Correction Administrator will immediately provide medication with prescription labels only and as indicated on the original prescription label until they obtain medication orders for all residents. Administrator will submit a statement of understanding for the regulation cited and that they reviewed facility's own medication policy and provide statement to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(c)(3)
- Regulation authority
- CCR
What the official deficiency says
(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (3) A record of each dose is maintained in the resident's record. The record shall include the date and time the PRN medication was taken, the dosage taken, and the resident's response. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above in one (1) resident, resident #1(R1) was provided PRN medication but had no record of PRN medication given which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/07/2025 Plan of Correction Administrator will immediately have staff record when PRN medication is given to resident. Administrator will conduct in-service training for all staff responsible for assisting residents in medication administration. A copy of training material used and sign in sheet of all staff that participated will be submitted to LPA by 02/07/2025.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87606(c)
- Regulation authority
- CCR
What the official deficiency says
(c) To accept or retain a person who is bedridden, other than for a temporary illness or recovery from surgery, a licensee shall obtain and maintain an appropriate fire clearance as specified in Section 87202, Fire Clearance. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, record review, the licensee did not comply with the section cited above in one bedridden resident, resident #6 (R6) residing in a bedroom designated by facility sketch to be for non ambulatory resident which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/30/2025 Plan of Correction Administrator will move resident to bedroom #3(R3) as that room is designated for bedridden by POC due date. Administrator stated they would submit LIC 200 and facility sketch to designate bedroom #6 and bedridden room or to have inspector add comment that any bedroom is cleared to house the one bedridden resident.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87608(a)(3)
- Regulation authority
- CCR
What the official deficiency says
(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident's record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above in R3 is on hospice has full bed rail but only has a half bed rail written order, R4 has half bed rail with no written order, R6 is not on hospice and has a full bed rail with no written order, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/30/2025 Plan of Correction Administrator agreed to remove bed rails from three (3) out of five (5) residents and place a half bed rail for R3 until a written order from a physician can be obtained indicating the need for postural support.
Plan of correction recorded
Correction not verified in available records
Inspection
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in one resident's wall having a hole on the wall which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/07/2025 Plan of Correction License will send LPA a picture of the wall after it has been fixed by POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87507(c)
- Regulation authority
- CCR
What the official deficiency says
(c) Admission agreements shall be signed and dated, acknowledging the contents of the document, by the resident or the resident's representative, if any, and the licensee or the licensee's designated representative no later than seven days following admission. Attachments to the agreement may be utilized as long as they are also signed and dated as prescribed above. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in one [1] out of five [5] admission agreements. Resident #4 (R4's) admission agreement was missing the licensee's or facility representative signature which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/02/2024 Plan of Correction Licensee will review all resident records to ensure records are signed by facility representative and resident or their responsible party. Licensee will submit a copy of R4'a admission agreement signed and dated by facility to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87458(a)
- Regulation authority
- CCR
What the official deficiency says
87458 (a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in one [1] out of five [5] resident records. Resident #4 (R4) was missing a medical assessment / Physician's report prior to admission which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/02/2024 Plan of Correction Licensee will ensure a Physician's Report / Medical Assessment is completed for R4 and submit a copy to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(c)(5)
- Regulation authority
- CCR
What the official deficiency says
87705(c)(5) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident’s dementia care needs. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in one (1) out of five (5) resident records. Resident #3 (R3) who has dementia did not have an annual required medical assessment/ physician's report on file which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/02/2024 Plan of Correction Licensee will ensure an annual medical assessment/physician's report is conducted for R3 and submit a copy to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(a)(11)
- Regulation authority
- CCR
What the official deficiency says
87412 (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (11) A health screening as specified in Section 87411, Personnel Requirements - General. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in two (2) out of two (2) staff records reviewed on todays visit which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/02/2024 Plan of Correction Licensee will ensure health screening with TB exams are conducted for each staff. Licensee will submit LIC503 to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87608(a)(3)
- Regulation authority
- CCR
What the official deficiency says
87608(a)(3)Postural Supports. A written order from a physician indicating the need for postural support shall be maintained in the resident’s record. The licensing agency is authorized to require additional documentation if needed. This requirement is not met as evidenced by: Deficient Practice Statement Based on 12/20/2022 Annual Visit observation and record review the licensee did not comply with the section cited above by utilizing half bed rails for 1 resident without a written order from the physician which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/13/2023 Plan of Correction Licensee/administrator will tour rooms for all residents and identify those who are utilizing bed rails. Licensee/Administrator will contact the physicians and obtain order for postural support for those identified as not having one. Administrator will submit the names of the residents room numbers and dates the orders were obtained as POC.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87608(a)(5)(B)
- Regulation authority
- CCR
What the official deficiency says
87608(a)(5)(B)Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidenced by: Deficient Practice Statement Based on 12/20/2022 Annual Visit observation and record review the licensee did not comply with the section cited above in 3 out of 3 residents by utilizing full bed rails for non-hospice residents which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/22/2022 Plan of Correction Licensee/administrator will tour rooms and identify those who are utilizing full bed rails. Licensee/Administrator will remove the full bed rails of non-hospice residents. Licensee/Administrator will send a picture of bed with removed full bed rails to LPA by POC date 12/22/2022.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87307(d)(6)
- Regulation authority
- CCR
What the official deficiency says
87307(d) The following space and safety provisions shall apply to all facilities: (6)All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in one resident bedroom by having a large chair obstructing an indoor passageway exit door which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/22/2022 Plan of Correction Staff removed the chair immediately. Licensee/Administrator will submit to LPA a statement of understanding for the regulation mentioned above by POC date 12/22/2022.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Source and limits
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
Read the data methodology