VILLA TOSCANA A MEMORY CARE COMMUNITY

Official classification

Type A

Official code

87468.2(a)(4)

Regulation authority

CCR

What the official deficiency says

87468.2 Additional Personal Rights of Residents..(a) In addition to the rights..4) To care, supervision,. their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met as evidenced by R1 resides in a memory care unit and on 3/20/2026, R1 left the unit unattended and S1 was not able to follow R1 as S1 was the only caregiver who was working on the floor so S1 had to stay to care for the other residents. in addition, staff did not respond to the delayed egress door in a timely fashion which posed an immediate health and safety risks to residents in care.

Official plan of correction

The administrator will develop a plan of correction indicating what action(s) that the facility will implement to ensure there are sufficient staff to delivery the needs and supervision of the residents. In addition what is the action that the facility will take to ensure staff members are competent with the protocols when the delayed egress door alarms goes off. The plan of correction shall include staff education. The administrator will provide a copy of the plan of correction to CCL by 5/22/2026.

Deadline recorded: May 22, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports as the Department may require,..(1) A written report shall be submitted to the licensing agency.. within seven days of the occurrence of any of the events This requirement is not met as evidenced by the facility did not report to CCL that R1 left the facility unattended which poses an immediate health and safety risks to residents in care,

Official plan of correction

The administrator will develop a plan of correction to ensure compliance and will provide a copy of the plan of correction to CCL by 5/22/2026.

Deadline recorded: May 22, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(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 as during the tour with the administrator, hot water temperature in resident rooms was measured at 126-134 degrees F which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/22/2026 Plan of Correction The administrator will develop a plan of correction on the action that was taken to ensure hot water temp is within 105-120 and the action that the administrator will take to ensure the hot water temperature stays within the range. The administrator will provide a copy of the plan of correction to CCL by 5/22/2026.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. 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 during the tour with the facility, LPA observed 4 out of 4 resident rooms have bottles of shampoos, conditioners, soap bars in their bathrooms which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/22/2026 Plan of Correction The administrator will develop a plan of correction that indicates the action that the facility took to ensure compliance and the action that the administrator will take to ensure compliance. The administrator will provide a copy of the plan of correction to CCL by 5/22/2026.

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 at 10:49AM, during the tour of the facility, LPA observed the 3rd floor medication cart was parked in the dining room and unlocked. In addition, LPA observed a bottle of Metamucil was in the bathroom of 204 and it was unlocked which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/22/2026 Plan of Correction The administrator will develop a plan of correction to ensure compliance and the actions that were taken on the above findings. The administrator will provide a copy of the plan of correction to CCL by 5/22/2026.

Official classification

Type B

Official code

87412(a)(11)

Regulation authority

CCR

What the official deficiency says

(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 [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed S2 and S3 did not have a health screen 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: 05/28/2026 Plan of Correction The administrator will develop a plan of correction to ensure compliance and the actions that were taken on the above findings. The administrator will provide a copy of the plan of correction to CCL by 5/28/2026.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement was not met as evidenced by: During visit on 06/20/2024, LPA Marrufo observed a container of Clorox cleaning wipes in an unsecured cabinet in the dining area, which poses an immediate safety risk to residents in care.

Official plan of correction

Licensee agrees to submit a plan of correction by 12/31/2025 stating how staff will receive in-service training on ensuring disenfectants, cleaning solutions, and other similar items which could pose a danger to residents are locked in storage. Once training is completed, the Licensee agrees to submit training records that include names of staff trained, training dates, training topic, and names and qualifications of trainers.

Deadline recorded: Dec 31, 2025. A deadline is not proof that correction was completed.