Majestic Care Villa

Type of visit: Required - 1 Year

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry by administrator Robert Aquino. There is a licensing application in progress for the same address under facility Queen of Angels Care Home - 306006821, which was submitted to the Centralized Application Bureau on July 17, 2025. There are currently six residents in care, one of which is receiving hospice care at this time. LPA observed residents relaxing in their respective bedrooms or in the facility's common living areas. Three resident interviews conducted during the visit. LPA accompanied by facility staff toured the physical plant. The facility is a one-story house with four private bedrooms and two shared rooms. There are two shared bathrooms used by residents, one of which is en-suite from the shared bedroom. Bedrooms appear clean and sanitary. One resident uses full-length rails for postural support, with one order from hospice reviewed during the visit. All resident bedrooms have the required furnishings. Bathrooms appear clean and sanitary and are equipped with grab bars and slip mats. Hot water temperature measured at 110F in one of the bathrooms used for personal grooming. LPA observed the kitchen has a minimum two (2) day perishable and seven (7) day non-perishable food supply. Sharp items, cleaning supplies and the medication central storage are verified to be secure. There are three wall-mounted fire extinguishers present, all verified to be charged with up-to-date maintenance tags. Carbon monoxide and smoke detectors were found to be present and operational. Emergency water supplies are observed to be stored in the locked laundry room. CONTINUED ON FORM LIC809-C CONTINUED FROM FORM LIC809 LPA and facility staff toured the outside of the facility. LPA observed a shaded outdoor seating area with outdoor furniture for resident use. The identified route of egress is free of clutter and obstructions. There is one self-latching gate on one side of the premises. There are no bodies of water present. The facility does not utilize locked perimeters or delayed egress. LPA reviewed six resident records which included all necessary components. Multiple admission agreements were observed to be missing the administrator's signature. Type B deficiency cited. One bedridden resident found to be present during the annual visit conducted on September 13, 2024 is still admitted to the facility. Fire clearance has not been updated for the present facility, however the Fire Marshall conducted a visit on September 18, 2025 for the purpose of the upcoming licensing application and granted a bedridden fire clearance after a fire door was added onto the shared room. Type A deficiency cited for the present license however. LPA reviewed resident medication records and prescription orders with no discrepancies observed. LPA reviewed staff records for two staff members during the visit. Proof of current CPR training reviewed. Initial and annual training is documented. Disaster drills are conducted quarterly and documented. All staff members including relieving staff are verified to be background cleared and associated to the licensed location. The administrator certificates are current. Based on the observation conducted during the present visit, one type A and one type B deficiencies are being cited per Title 22 of the California Code of Regulations. An exit interview was conducted and a copy of this report along with appeal rights were provided to a facility representative.the state’s words, verbatim · CDSS document, Sep 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 this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of conducting the Required Annual Inspection. LPA was greeted and granted entry by the facility's caregiving staff after introducing himself and stating the reason of the visit. Administrator Miguelito Fajardo was notified via telephone and arrived later to assist with the visit. During the inspection, LPA and staff conducted a tour of the physical plant and observed the following: The facility is a one-story home with three private and one shared bedrooms in addition to the facility's common living areas. There is an additional room for use by live-in staff. There is one shared bathroom and one bathroom located en-suite with the shared bedroom. Both are observed to be equipped with grab bars and slip mats. All resident bedrooms have the required furnishings. LPA observed all beds have linen and blankets. One bed is observed to be equipped with half rails and another one with full rails for postural support. Physician orders and hospice plan of care and admission reviewed for both residents. There are currently four residents admitted to the facility, two of which are receiving hospice care. One of these residents is assessed to be bedridden in their most recent physician report and the previous one. The facility's fire clearance does however not include any provision for bedridden residents. A type A citation is therefore issued on an attached LIC809-D for this deficiency. Bathrooms faucets and toilets are operational. Water temperature was verified to be within acceptable range. LPA observed emergency disaster plan with means of exiting and emergency phone numbers are listed and available for review by staff in a folder. Drills are conducted quarterly and documented. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable. Smoke and carbon monoxide detectors tested operational. Fire extinguisher present are fully charged with up-to-date maintenance tags. There is adequately shaded outside space with outdoor furniture present. There is a self-latching gate on one side. The route of egress is free of obstructions. There are no bodies of water on the premises. CONTINUED ON FORM LIC809-C CONTINUED FROM FORM LIC809 Medication, cleaning products and sharp items are confirmed to be inaccessible throughout the physical plant. The medication central storage was also observed to be secure and reviewed to be accurate and up to date with the resident's prescription orders. LPA reviewed four resident files and three staff files. Resident records include all necessary components. All staff members are confirmed to be cleared and associated with this particular licensed location. Training records and CPR training on file and up-to-date. Based on the observations made during today’s inspection, one type A deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report along with appeal rights was left at the facility.the state’s words, verbatim · CDSS document, Sep 13, 2024