Complaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportPRIME VILLA CLOUD
1009 E MARCELLUS ST, Long Beach CA 90807
6 bedsLatest official report Apr 23, 2026Licensed
Additional info
- Telephone
- (562) 473-0620
- Licensee
- PRIME VILLA LLC
- Administrator
- ATENCIO, JOHN PAUL
- Contact
- ATENCIO, JOHN PAUL
- License first date
- Oct 21, 2020
- License effective date
- Oct 21, 2020
- District office
- EL SEGUNDO ASC · (424) 544-1075
- Regional office
- 11
- Clients served
- 935 - ELDERLY
Summary
The available records show 2 Type B deficiencies for this facility.
- Most recent inspection
- Dec 4, 2025
- Most recent deficiency
- Dec 4, 2025
2 later reports, from Dec 11, 2025 through Apr 23, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.
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 6 reports for this facility: 4 inspections, 2 complaint investigations, and 0 licensing or administrative records.
Those records contain 0 Type A and 2 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 4
- Recorded deficiencies
- 2
- Type A deficiencies
- 0
- Type B deficiencies
- 2
- Substantiated complaints
- 0
- Repeated topics
- 0
About the same as most this size
1 in the last 12 months
More than the typical 1
2 in the last 12 months
Most this size also have none
0 in the last 12 months
Most this size have none
2 in the last 12 months
Most this size also 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.
No topic repeats in the last 36 months
No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87458(c)(1)(A)
- Regulation authority
- CCR
What the official deficiency says
87458 Medical Assessment The medical assessment shall include, but not be limited to: A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for all of the following: Communicable tuberculosis. Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above As residents #1-3 (R1-R3) did not have a TB test in their file which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/18/2025 Plan of Correction Licensee will ensure all residents in care and/or future residents have a TB test with results on file, TB test results shall be signed by a licensed physician. Licensee to send LPA Villegas proof of TB test for residents #1-3 by POC due date.
Plan of correction recorded
Correction not verified in available records
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. Deficient Practice Statement Based on [(observation) (record review)], the licensee did not comply with the section cited above as LPA did not observe any records or documentation indicating that Residents #R1-R3 have seen a dentist of medical specialist in 2025 which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/18/2025 Plan of Correction Licensee to obtain copies of medical and dental visits for 2025 and ensure they are placed in resident files moving forward. LPA to obtain proof that residents have had medical and dental visits for 2025 by POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
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