Springfield Villa

Type of visit: Required - 1 Year

On 05/21/2026, Licensing Program Analyst (LPA) V Gorban arrived at the facility unannounced to conduct Required Annual Inspection. LPA met with staff Cristy Bungay, administrator was notified of Licensing visit and arrived shortly. Administrator certification number 6075293740 and expiration date 02/17/2027. LPA conducted tour inside and out of facility with staff. Residents observed at the facility resting before dinner time. The facility was observed to be at a comfortable temperature of 74 degrees, clean, in good repair, and no passageway obstructions or fire hazards observed. Fire extinguisher was observed with a service date of 01/12/2026. Last fire drill recorded on April 1st, 2026 Dining area and Kitchen were toured. An adequate supply of perishable and non-perishable food was observed to be properly stored in freezer, refrigerator, and pantry. Food is delivered once a week on Thursdays. Refrigerator temperature was maintained at 36-degree F. and freezer was maintained at 0-degree F. The facility comprised of one level section. Census during visit is four residents. LPA toured resident bedrooms. Residents' rooms were toured and observed with adequately furnished with bed, dresser, and adequate lighting. Hot water temperature tested at 114 degrees F. LPA observed securely fastened grab bar and non-skid mat in shower area. Medications were stored in a locked medication room. Medications records were reviewed. First Aid Kit was stored in medication room and observed with all required items. LPA toured laundry room and observed chemicals were stored and locked in for staff use only. Facility courtyard was toured and observed to be free from debris. There was outdoor seating available for the residents. LPA reviewed facility files including staff and residents records. Facility phone number is 831-536-5029 observe d operational. No deficiency were cited during this visit. Exit interview conducted, report signed and copy of this report provide to administrator for facility records.the state’s words, verbatim · CDSS document, May 21, 2026

Type of visit: Required - 1 Year

On 06/18/2025, Licensing Program Analyst (LPA) V Gorban arrived at the facility unannounced to conduct Required Annual Inspection. LPA met with staff Cristy Bungay, administrator was notified and arrived shortly. certification number 6075293740 and expiration date 02/17/2027. LPA conducted tour inside and out of facility with staff. Residents observed at the facility resting before dinner time. The facility was observed to be at a comfortable temperature of 72 degrees, clean, in good repair, and no passageway obstructions or fire hazards observed. Fire extinguisher was observed with a service date of 01/22/2025. Last fire drill recorded on April 20th, 2025 Dining area and Kitchen were toured. An adequate supply of perishable and non-perishable food was observed to be properly stored in freezer, refrigerator, and pantry. Food is delivered once a week on Thursdays. Refrigerator temperature was maintained at 35-degree F. and freezer was maintained at 0-degree F. The facility comprised of one level section. Census during visit is four residents. LPA toured resident bedrooms. Residents' rooms were toured and observed with adequately furnished with bed, dresser, and adequate lighting. Hot water temperature tested at 117 degrees F. LPA observed securely fastened grab bar and non-skid mat in shower area. Medications were stored in a locked medication room. Medications records were reviewed. First Aid Kit was stored in medication room and observed with all required items. LPA toured laundry room and observed chemicals were stored and locked in for staff use only. Facility courtyard was toured and observed to be free from debris. There was outdoor seating available for the residents. LPA reviewed facility Plan of Operation, Infection Control Plan, Emergency Disaster Plan and number of staff and residents files requested and reviewed during the inspection visit. No deficiency were cited during this visit. Exit interview conducted, report signed and copy of this report provide to administrator for facility records.the state’s words, verbatim · CDSS document, Jun 18, 2025

Type of visit: Required - 1 Year

On 6/6/2024, Licensing Program Analyst (LPA) D. Ayers arrived unannounced to conduct a Required Annual Inspection. LPA met with Co-Licensee Nelly Tan and announced the purpose of the inspection. Administrator certificate is current with renewal date 1/26/2025. LPA toured the facility inside and outside. All exits and passageways were clear and free from obstruction. LPA observed three fire extinguishers which were fully charged. Carbon monoxide and smoke detectors were operational. LPA reviewed facility emergency disaster plan and record of emergency drills. There was an adequate supply of emergency food and water, which was properly stored in the outdoor storage room. Outdoor area was free from hazards and provided covered sitting areas for residents. Common areas were clean, adequately lit, and provided seating for all residents. Facility kitchen was clean. LPA observed an adequate supply of perishable and nonperishable foodstuffs which appeared to be properly stored. Menu of meals was prominently posted in the facility common area. Detergents and cleaning supplies were secured in locked cabinets. Medications were secured in a locked storage cabinet, and medications appeared to be properly administered. LPA toured resident bedrooms and bathrooms. Bedrooms were clean, odor-free, adequately lit, and had required minimum furnishings. Resident bathrooms were clean and odor free. All fixtures were functioning properly and hot water was within required temperature range. Bathrooms had required secure grab bars and non-skid mats. LPA reviewed staff and resident files. Files contained required records. No deficiencies were cited during the inspection. A copy of the report was provided and exit interview was conducted.the state’s words, verbatim · CDSS document, Jun 6, 2024