Medication handling and storage
Cited in 2 reports, with 3 deficiencies in total.
MILLS ESTATE VILLA
1733 CALIFORNIA DRIVE, Burlingame CA 94010
47 bedsLatest official report Feb 4, 2026Licensed
Additional info
- Telephone
- (650) 692-0600
- Licensee
- CALIFORNIA DRIVE PARTNERS
- Administrator
- MONTANO, DELIA GODOY
- Contact
- MONTANO, DELIA GODOY
- License first date
- Feb 15, 1996
- License effective date
- Feb 15, 1996
- District office
- SAN BRUNO RO · (650) 266-8800
- Regional office
- 14
- Clients served
- 935 - ELDERLY
Summary
The available records show 7 Type A and 1 Type B deficiencies for this facility.
- Most recent inspection
- Feb 4, 2026
- Most recent deficiency
- Feb 4, 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 15 San Mateo County facilities licensed for 16 to 49 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 4 reports for this facility: 4 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 7 Type A and 1 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 4
- Recorded deficiencies
- 8
- Type A deficiencies
- 7
- Type B deficiencies
- 1
- Substantiated complaints
- 0
- Repeated topics
- 1
Fewer than the typical 6
2 in the last 12 months
More than the typical 4
1 in the last 12 months
Well above the typical 1
1 in the last 12 months
About the same as most this size
0 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.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(5)
- Regulation authority
- CCR
What the official deficiency says
(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. 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 as based on observation and interview, at 11:15AM, during the tour of facility with the administrator, LPA observed medications for resident #1 (R1), resident #2 (R2), resident #3 (R3), resident #4 (R4) and resident #5 (R5) were removed from its original container and poured into covered small plastic cups with resident's room number on it. The med tech/shift manager Staff #1 (S1) stated that some of those residents were discharged therefore the medications were for destruction and S1 did not know the reason why those medications were removed from its original containers. The administrator observed and acknowledged that the medications should not have been removed from its original containers even for destruction which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/05/2026 Plan of Correction The administrator will develop a plan in writing to ensure compliance. The plan shall indicate the facility's monitoring process to ensure compliance. The plan shall include staff training. The administrator will provide a copy of the dated and signed plan to CCL by 2/5/2026.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(a)(1)
- 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. (1) Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition. 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 as LPA observed the kitchen floor underneath the dishwater sinks appeared to be black with grease stains which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/22/2025 Plan of Correction The administrator will develop a plan in writing to ensure compliance and the plan shall indicate when the floor will be cleaned and send photo(s) of the floor on the completion date. The administrator will submit a copy of the signed and dated plan to CCL by 1/22/2025
Plan of correction recorded
Correction not verified in available records
Food serviceType A
- Official classification
- Type A
- Official code
- 87555(b)(8)
- Regulation authority
- CCR
What the official deficiency says
(b) The following food service requirements shall apply: (8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. 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 as LPA observed an opened carton of egg nog with an expiration date of January 11, 2025 which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/22/2025 Plan of Correction The administrator will develop a plan in writing to ensure compliance and the plan shall indicate what is the process that the facility will implement to ensure food items are in good quality. The administrator will submit a copy of the signed and dated plan to CCL by 1/22/2025
Plan of correction recorded
Correction not verified in available records
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(2)
- Regulation authority
- CCR
What the official deficiency says
(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. 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 as LPA observed resident #1 has a bottle of Refresh eardrops at the bedside table which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/22/2025 Plan of Correction The administrator will develop a plan in writing to ensure all centrally stored medications are locked and inaccessible to residents in care. The plan shall indicate the facility's monitoring process to ensure compliance. The administrator will provide a copy of the signed and dated plan to CCL by 1/22/2025.
Plan of correction recorded
Correction not verified in available records
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(5)
- Regulation authority
- CCR
What the official deficiency says
(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. 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 as LPA observed the medication cart consisted of little plastic containers with medications stored in a few big plastic boxes for the PM shift, HS shift, and AM shift for the following day which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/22/2025 Plan of Correction The administrator will develop a plan in writing to ensure compliance. The plan shall indicate the facility's monitoring process to ensure compliance. The plan shall include staff training. The administrator will provide a copy of the dated and signed plan to CCL by 1/22/2025.
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) (record review)], the licensee did not comply with the section cited above as LPA observed 3 out of 5 residents have bedrails without a physician's order which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/22/2025 Plan of Correction The administrator will develop a plan in writing to ensure compliance and the plan shall indicate the date of the physician's orders will be obtained and provide a copy of the order to CCL when the order is obtained. The administrator will provide a copy of the signed and dated plan to CCL by 1/22/2025.
Citation dismissed - not a correction
Deficiency Dismissed Type A Section Cited CCR 87608(a)(3)
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87618(b)(3)(B)
- Regulation authority
- CCR
What the official deficiency says
(3) Ensuring that the use of oxygen equipment meets the following requirements: (B) “No Smoking-Oxygen in Use” signs shall be posted in the appropriate areas. 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 as LPA observed resident #2 (R2) with oxygen in the dining room with other residents and there was no " No Smoking - Oxygen in Use " sign around the area which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/22/2025 Plan of Correction The administrator will develop a plan in writing to ensure compliance and will provide a photo that the sign is placed in the common areas while oxygen is being used. The administrator will provide a copy of the dated and signed plan and the photo to CCL by 1/22/2025.
Citation dismissed - not a correction
Deficiency Dismissed Type A Section Cited CCR 87618(b)(3)(B)
Plan of correction recorded
Correction not verified in available records
Inspection
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(c)(5)
- Regulation authority
- CCR
What the official deficiency says
This requirement is not met as evidenced by: Care of Persons with Dementia Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as 1 out of 5 residents who has a diagnosis of Dementia did not have an updated Medical Assessment (LIC 602) which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/21/2024 Plan of Correction The administrator and/or designee will review the LIC 602 for all the residents to ensure compliance. After the review, the administrator/licensee will provide a dated and signed statement stating that this process has been completed, and a plan to ensure compliance. The administrator will provide a copy of the updated LIC 602, a copy of the signed and dated statement and a copy of the plan to CCL by 2/21/2024.
Plan of correction recorded
Correction not verified in available records
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