CASTILLA LANE VILLA

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 interview and record review, the licensee did not comply with the section cited above in which the evacuation drill was conducted once this year on 8/6/25 which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/30/2025 Plan of Correction Administrator to conduct and document the emergency drill by POC due date.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. 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 six out of six bathrooms of which one out of the six bathroom had a presence of mold in the grout and a small hole above the shower which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/30/2025 Plan of Correction Administrator will remove the mold and regrout shower tile in the shared bathroom in between the bedrooms of R5 and R6 as well as deep clean the remaining bathrooms by POC due date.

Official classification

Type A

Official code

87705(b)(2)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia... In addition to the requirements as specified in Section 87208, Plan of Operation, the plan of operation shall address the needs of residents with dementia, including: Safety measures to address behaviors such as wandering.. This requirement was not met as evidenced by: Based on observation, file review and interviews, facility missed to provide safety measures to address the wandering behavior of the residents. Resident 1 was able to leave the facility without assistance. This posed immediate threat on the safety of the resident in care.

Official plan of correction

AD had replaced better auditory exit alarm, and also used motion sensors throughout the facility. Resident 1 had recent consultation with primary physician. Threat was reduced. AD agreed to offer regular training and strategies to staff to address wandering behavior of residents diagnosed with neurocognitive disorders. (Continuation below) Deficiency was corrected at the time of the visit.

Deadline recorded: Sep 17, 2021. A deadline is not proof that correction was completed.