Camila Care Villa

Type of visit: Required - 1 Year

On 02/04/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and requested to meet with Administrator Licensee/ Administrator(L1) Maria Emma Pangilinan. LPA was greeted by caregiver Erlinda Mercado and granted entry. L1 was called and arrived shortly during visit. LPA toured facility with L1. All four residents were present during the inspection. One resident observed sitting in the living room. Three residents observed in their rooms which two residents are on hospice care. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. An adequate supply of perishable and non-perishable food was observed. Chemicals observed locked under kitchen sink and laundry counter. Sharps and knives observed locked in kitchen drawers. Medications observed locked in hall closet and kitchen shelves. Last fire drill was completed on 2/12/25.Refrigerator temperature was maintained at 39 degrees F. Fire extinguisher was observed with a service date of: 01/07/26. Residents' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are observed with securely fastened grab bars and non-skid mats. Hot water temperature was tested ranged at 106.6 and 107.2 degrees F in master bathroom and 105.7 degrees F. in bathroom 1. Outside of facility toured and observed free of debris. Residents’ MARS were reviewed and medications were checked. Side gate was self-closing and self-latching. All residents’ and sample staff files were reviewed to have all required documents. Carbon monoxide and smoke detectors were tested and observed to be operational. A deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 02/10/26. Copy of facility sketch was received. The following updated forms were requested: Lic 308, Lic 500, Lic 610E, control of property, and current liability insurance. A copy of this report and appeal rights was provided to Licensee, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Feb 4, 2026

The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 02/19/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and requested to meet with. Licensee(L1) Maria Emma Pangilinan. LPA toured facility with L1. All six residents were present during the inspection. Three residents were observed sitting in the living room. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. At 10:24AM, medications were checked and observed unlocked medication closet. Residents’ MARS were reviewed. At 12:16PM, tools were observed in kitchen drawer unlock. An adequate supply of perishable and non-perishable food was observed. Sharps and knives observed locked under kitchen sink and in kitchen drawer. Refrigerator temperature maintained at 38 degrees F and freezer maintained at 0 degree F. Fire extinguisher was observed with a service date of: 12/17/24. Chemicals observed lock in laundry room. Washer and dryer observed functional and operational during visit. Residents' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are observed with securely fastened grab bars and non-skid mat. Hot water temperature was tested range at 106.3 and 106.5 degrees F in master bathroom and 105.4 degrees F. in bathroom 1. Outside of facility toured and observed free of debris. Side gate was self-closing and self-latching. 5 out of 6 residents’ files were reviewed to have all required documents. A sample of staff files were reviewed to have all required documents. Carbon monoxide and smoke detectors were tested and observed to be operational. Technical Support Program (TSP) assistance was offered to Licensee. Licensee will make a decision and reach out the department regarding acceptance. A deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 02/25/24. The following updated forms were requested: Lic 308, Lic 500, Lic 610E, current Administrator Certificate, control of property, and current liability insurance. A copy of this report and appeal rights was provided to Licensee, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Feb 19, 2025

The state marks this report as 7 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 03/04/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and requested to meet with Administrator. LPA met with staff Roderick “Erick” Buan. Licensee(L1) Maria Emma Pangilinan was called and arrived shortly. LPA toured facility with L1. All five residents were present during the inspection. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. Sharps observed locked under kitchen counter. An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature maintained at 40 degrees F and freezer maintained at -4 degree F. Fire extinguisher was observed with a service date of: 12/27/23. Medications were checked and observed kept locked living room closet and kitchen cabinet. Residents’ MARS were reviewed. Cleaning chemicals observed locked in laundry room. Washer and dryer observed operational. Residents' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are observed with securely fastened grab bars and non-skid mat. Hot water temperature was tested 114.4 degrees F. in bathroom 1 and range between 117.1 and 118.5 degrees F in master bathroom. Outside of facility toured and observed free of debris. Side gate was self-closing and self-latching. Carbon monoxide and smoke detectors were tested and observed to be operational. All resident and reviewed to have all the required documents. Four staff files reviewed to have current 1st Aid/CPR, medical training, fingerprinted cleared and associated. A deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 03/11/24. The following updated forms were requested: Lic 308, Lic 500, Lic 610E, and current liability insurance. A copy of this report and appeal rights was provided to Licensee, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Mar 4, 2024

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.