Millport Villas

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 9/24/26 to conduct a Annual Inspection utilizing the CARE inspection tool. LPA met with staff and explained the purpose of the visit. LPA requested for staff to notify Administrator that LPA is present at the facility to conduct an annual inspection. Administrator was unavailable to attend. Inspection conducted with designee. LPA toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. The home is very clean and residents stated they are happy with care. citation issued for hot water exceeding 125' F in a resident bathroom. LPA advised repair to gate that does not move freely. Injectable meds not stored securely. R3 has bed rails at head and foot of hospical bed. Rails not in use and lower rail to be removed. LPA reviewed 3 resident files. Files were of varying organization. R1 no hospice care or O2 admin care plans present. R3 LIC 625 and 602 expired since March 2026 LPA reviewed 2 staff files. Files are complete. Insufficient training hours recorded for S1. Lack of restricted condition training for S1 and S2. report cont... LPA requested the following documents to update the facility file: LIC 308- designee, LIC 309- Liability Ins. cert., LIC 500 and emergency drill logs (to include staff present for each drill. To be submitted by 10/1/26. As a result of this inspection, the following deficiencies were cited on 809-D, per Title 22 Regulations, Division 6. (A)This poses an immediate Health and Safety risk to clients/residents in care. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care Exit interview conducted with licensee and copy of report )and appeal rights) left at the facility.the state’s words, verbatim · CDSS document, Sep 24, 2026

Allegation investigated: Staff interacts with resident in an inappropriate manner

On 10/23/25, Licensing Program Analyst (LPA) Kevin Mknelly conducted an unannounced complaint investigation visit to deliver the findings for the above allegations and met with caregiver/ designee Scvonda Peters- Robertsaon. LPA conducted records review and extensive interviews. LPA is unable to find and or meet the preponderance, per policy. Regarding staff interactions with R1, interviewes of R1 and caregivers found varying accounts of events. No other residents or impartial witnesses were identified nor stated similar concerns regarding staff interactions. LPA reviewed shift notes and activity schedule sheets for R1. LPA requests copies of all shift and activity notes be copied to LPA by 10/27/25. As a result of this investigation, LPA finds allegation to be (US)Unsubstantiated - A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview with administrator. Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 23, 2025 · control 59-AS-20250828085730

Allegation investigated: Staff do not have planned activities for a resident Staff are mistreating a resident

On 10/23/25, Licensing Program Analyst (LPA) Kevin Mknelly conducted an unannounced complaint investigation visit to deliver the findings for the above allegations and met with designee. LPA conducted records review and extensive interviews. LPA is unable to find and or meet the preponderance, per policy. Records found that R1 is not diagnosed with cognitive disability. R1 is dependent on others for physical assist from bed by a 2-person hoyer lift. Interviews and records showed that facility staff have tried to plan with R1 to insure 2 staff are available for care and activities. Staff report R1 regularly refuses activies when staff are available at agreed upon times. R1 states that assisance is not offered as claimed by staff. R1 statements of mistreatment by staff are in conflict with staff reports of R's behavior. As a result of this investigation, LPA finds allegation to be (US)Unsubstantiated - A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview with designee. Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 23, 2025 · control 59-AS-20251006093136

Allegation investigated: Staff refusing to pick up resident’s medication.

On 10/23/25, Licensing Program Analyst (LPA) Kevin Mknelly LPA Mknelly arrived and met with designee to deliver investigation findings. LPA reviewed resident records, facility records, and conducted interviews. LPA finds that facility met Tittle 22 requirements. R1 was reportedly requested to ask family to pick-up medciations. Medciation supply had not run out at that time. Family did pick-up R1 pain meds and gave them to R1. R1 is designated by their physician as being capable to administrer PRN medications and is not self administering pair medication. Facility staff picked up and centrally stored R1's additional medication. R1 did not have any missed medication due to lack of availablilty. This agency has investigated the above complaint allegations. We have found that the complaint is UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. Exit interview conducted and report provided. Unfoundedthe state’s words, verbatim · CDSS document, Oct 23, 2025 · control 59-AS-20251007163437

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 9/3/25 to conduct a Annual Inspection utilizing the CARE inspection tool. LPA met with staff and explained the purpose of the visit. LPA requested for staff to notify Administrator that LPA is present at the facility to conduct an annual inspection. Administrator is present to assist LPA toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. Regulation for securing hazardous items were discussed. All residents observed. 2 resident interviews conducted. LPA reviewed 3 resident and 2 staff files. Files were complete . Specifics for staff training documentation and content of resident needs and services plans were discussed. LPA requested the following documents to update the facility file: Liability insurance certificate. As a result of this inspection, no deficiencies were cited. Exit interview conducted with house manager/ designee and copy of report provided.the state’s words, verbatim · CDSS document, Sep 3, 2025

Type of visit: Post Licensing

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 5/13/25 to conduct a Post- licensing Inspection utilizing the CARE tool. LPA Met with the licensee. LPA toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA, reviewed 2 resident file . File is complete and well organized. 1 Staff file was reviewed. File is complete and organized. LPA and licensee discussed several topics. No deficiencies are being cited as a result of todays inspection. Exit interview conducted and copy of report to be emailed to licensee.the state’s words, verbatim · CDSS document, May 13, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 10/1/24 to conduct a Prelicensing Inspection utilizing the CARE tool. LPA Met with the licensee. LPA toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA, reviewed a resident file . File is complete and well organized. Applicant will follow guidance for files in LIC 311F Staff file was reviewed. File is complete and organized. Component III was completed. No deficiencies are being cited as a result of todays inspection. Facility is in significant compliance. License is pending. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, Oct 1, 2024

Type of visit: Office

Facility Type: Residential Care Facility for the Elderly Application Type: Change of Ownership Capacity: 6 Census (if any clients in care): 1 COMP II Participants: NEGASH AREFA Interview Method: Telephone interview On September 30, 2024, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed the understanding of the California Code Title 22 Regulations. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restricted/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Sep 30, 2024