VILLA MIRAGE OF CARMEL

101 VILLAGE LANE, Carmel Valley CA 93924

Facility 275201906 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Oct 22, 2025Licensed

Additional info
Licensee
SERRANO, CHARITO M.
Administrator
SERRANO, CHARITO M.
Contact
SERRANO, CHARITO M.
License first date
Dec 28, 2006
License effective date
Dec 28, 2006
District office
FRESNO RO · (559) 243-8080
Regional office
24
Clients served
935 - ELDERLY

Summary

The available records show 4 Type A and 10 Type B deficiencies for this facility.

Most recent inspection
Oct 22, 2025
Most recent deficiency
Oct 22, 2025

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 22 Monterey County facilities licensed for 6 or fewer beds, except where too few exist to state one — those come from facilities with 7 or more beds.

In the available public five-year record, CCLD published 5 reports for this facility: 5 inspections, 0 complaint investigations, and 0 licensing or administrative records.

Those records contain 4 Type A and 10 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
5

Fewer than the typical 7

1 in the last 12 months

Recorded deficiencies
14

Well above the typical 4

12 in the last 12 months

Type A deficiencies
4

More than the typical 2

4 in the last 12 months

Type B deficiencies
10

Well above the typical 3

8 in the last 12 months

Substantiated complaints
0

Fewer than the typical 1

0 in the last 12 months

Repeated topics
1

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.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Inspection
Not classified in the sourceType A
Official classification
Type A
Official code
1569.33(h)
Regulation authority
HSC

What the official deficiency says

(h) As a part of the department’s evaluation process, the department shall review the plan of operation, training logs, and marketing materials of any residential care facility for the elderly that advertises or promotes special care, special programming, or a special environment for persons with dementia to monitor compliance with Sections 1569.626 and 1569.627. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in 2 out of 2 fire extinguishers are past the one year service/purchase date which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/23/2025 Plan of Correction LIcensee agrees to either purchase new fire extinguishers or have the ones in the facility serviced with service tags. Licensee agrees to submit receipts of new fire extinguishers or pictures of service tags that are updated to CCLD by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Not classified in the sourceType A
Official classification
Type A
Official code
1569.311
Regulation authority
HSC

What the official deficiency says

Every residential care facility for the elderly shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 1 Carbon Monoxide Dectectors missing in facility which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/23/2025 Plan of Correction Licensee agrees to purchase a Carbon Monoxide Detector and send photo of the new Detector or copies of receipt and submit to CCLD by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Facility condition and maintenanceType A
Official classification
Type A
Official code
87303(e)(2)
Regulation authority
CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 4 water faucets were tested at a temperature of 124.8 in bathroom 2 which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/23/2025 Plan of Correction Licensee agrees to have water heater repaired or replaced. Licensee agrees to test water temperature in bathroom 2 and must meet temperature regulation ranging from 105 degrees F to 120 degrees F, and send photo to CCLD by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Licensing and administrationType A
Official classification
Type A
Official code
1569.618(c)(3)
Regulation authority
HSC

What the official deficiency says

(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 2 staff is not First Aide certified which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/23/2025 Plan of Correction Licensee agrees to have staff complete First Aide training and submit completion document/certificate to CCLD by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Records and plan of operationType B
Official classification
Type B
Official code
87208(a)(2)
Regulation authority
CCR

What the official deficiency says

(a) The licensee shall have and maintain a current, written definitive plan of operation for the facility. The licensee shall operate the facility in accordance with the terms specified in the plan of operation and may be cited for not doing so pursuant to Health and Safety Code section 1569.49. The plan and related materials shall be on file in the facility and shall be submitted to the licensing agency with the license application. Any significant changes in the plan of operation which would affect the services to residents shall be submitted to the licensing agency for approval. The plan and related materials shall contain the following: (2) A copy of the Admission Agreement, containing basic and optional services. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 5 residents does not have an Admission Agreement which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/05/2025 Plan of Correction LIcensee agrees to complete the Admission Agreement for Resident (R1) and submit copy to CCLD by POc due date.

Plan of correction recorded
Correction not verified in available records
View official report
Administrator qualificationsType B
Official classification
Type B
Official code
87406(a)(1)(B)
Regulation authority
CCR

What the official deficiency says

(a) All individuals shall be residential care facility for the elderly certificate holders prior to being employed as an administrator. (1) Applicants who possess a valid Nursing Home Administrator license, issued by the California Department of Public Health, shall be exempt from completing an approved Initial Certification Training Program and taking a written exam, provided the individual completes twelve (12) hours of classroom instruction in the following Core of Knowledge areas: (B) Four (4) hours of instruction in medication management, including the use, misuse, and interaction of drugs commonly used by the elderly, including antipsychotics, and the adverse effects of psychotropic drugs for use in controlling the behavior of persons with dementia. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 2 staff does not possess a certificate in medication training which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/05/2025 Plan of Correction Licensee agrees to have staff complete medication training and submit completion document to CCLD by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Records and plan of operationType B
Official classification
Type B
Official code
87506(b)(10)
Regulation authority
CCR

What the official deficiency says

(b) Each resident's record shall contain at least the following information: (10) Reports of the medical assessment specified in Section 87458 Medical Assessment, and of any special problems or precautions. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in 2 out of 5 residents does not possess an LIC-602 with TB test, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/05/2025 Plan of Correction LIcensee agrees to have residents visit Dr. and have Dr. complete an LIC-602 with TB test and submit completed LIC-602's to CCLD by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Records and plan of operationType B
Official classification
Type B
Official code
87506(b)(16)
Regulation authority
CCR

What the official deficiency says

(b) Each resident's record shall contain at least the following information: (16) Records of resident's cash resources as specified in Section 87217, Safeguards for Resident Cash, Personal Property, and Valuables. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in 2 out of 5 residents do not possess a Safeguard for Property Values which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/05/2025 Plan of Correction Licensee agrees to complete the Safeguard for Property Values forms and submit to CCLD by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87463(c)(2)
Regulation authority
CCR

What the official deficiency says

(c) If the licensee observes or is made aware of behavioral expression, as defined in Section 87101, that has caused or may cause harm to the resident or others, the licensee shall document all of the following in the resident’s reappraisal: (2) If known, identification of events occurring just prior to the behavioral expression including, but not limited to, interactions with other residents or staff, sudden or recent changes in the physical environment, signs of possible new physical illness or injury (such as fever, cough, urinary urgency, or limping), overstimulation (such as from noise or visitors), or physical sensations a resident may not be able to express verbally that may include, but are not limited to, fatigue, heat, cold, pain, hunger, thirst, boredom, fear, wanting to walk, or need for toileting. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 5 residents does not possess an LIC-601 in resident file which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/05/2025 Plan of Correction Licensee agrees to complete the LIC-601 and submit to CCLD by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Fire safety and emergency preparednessType B
Official classification
Type B
Official code
1569.695(c)
Regulation authority
HSC

What the official deficiency says

(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 observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 1 Fire Drill log which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/05/2025 Plan of Correction Licensee agrees to conduct a fire drill and submit a copy of the FIre Drill log to CCLD by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Licensing and administrationType B
Official classification
Type B
Official code
1569.72(c)
Regulation authority
HSC

What the official deficiency says

(c) Notwithstanding paragraph (2) of subdivision (a), bedridden persons may be admitted to, and remain in, residential care facilities for the elderly that secure and maintain an appropriate fire clearance. A fire clearance shall be issued to a facility in which one or more bedridden persons reside if either of the following conditions are met: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 1 fire drill which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/05/2025 Plan of Correction Licensee agrees to conduct a fire drill and submit a copy of the FIre Drill log to CCLD by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Not classified in the sourceType B
Official classification
Type B
Official code
87469(a)
Regulation authority
CCR

What the official deficiency says

(a) Upon admission, a facility shall provide each resident, and representative or responsible person of each resident, with written information about the right to make decisions concerning medical care. This information shall include, but not be limited to, the Department's approved brochure entitled “Your Right To Make Decisions About Medical Treatment,” PUB 325, (3/12) and a copy of Sections 87469(b), (c) and (d) of the regulations. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 1 resident does not possess a Consent for Medical treatment in resident file which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/05/2025 Plan of Correction Licensee agrees to complete the Consent for Medical treatment form and submit to CCLD by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Licensing and administrationType B
Official classification
Type B
Official code
1569.605
Regulation authority
HSC

What the official deficiency says

On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/25/2024 Plan of Correction Administrwtor will provide plan of correction to LPA by email that liability insurance actual start date proof

Plan of correction recorded
Correction not verified in available records
View official report
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
87412(a)(6)(A)
Regulation authority
CCR

What the official deficiency says

(A) For administrators this shall include verification that he/she meets the educational requirements in Section 87405(d) through (g). This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/25/2024 Plan of Correction Administrator will provide to LPA by email administration certification submitted documents and payment receipt

Plan of correction recorded
Correction not verified in available records
View official 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