Mills Estate Villa

Type of visit: Required - 1 Year

On February 4, 2026 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. Upon entry, LPA met with the administrator and LPA explained the purpose of today's visit. LPA toured the facility with the administrator . The facility is a two story building. No accessible bodies of water or fire safety hazards observed. The indoor and outdoor passageways were free of obstruction. LPA observed all bedrooms with emergency call buttons, adequate furniture, and sufficient lighting. Bathrooms/shower rooms and toilets have grab bars and non-skid mats. Hot water temperature in the kitchen, bathrooms, shower rooms and resident rooms were measured at 105-119 degrees F. LPA toured the kitchen and observed 2-days perishable and 7- days non-perishable present. Linen closet was reviewed. Bed sheets, linens, and towels were observed to be sufficient at this time. Medication was locked and inaccessible to residents in care. Facility is equipped with smoke detectors and carbon monoxide detectors. Fire extinguisher was last serviced on 1/26/2026. Fire drill records observed to be sufficient. At 11:15AM, during the tour of facility with the administrator, LPA observed medications for resident #1 (R1), resident #2 (R2), resident #3 (R3), resident #4 (R4) and resident #5 (R5) were removed from its original container and poured into covered small plastic cups with resident's room number on it. The med tech/shift manager Staff #1 (S1) stated that some of those residents were discharged therefore the medications were for destruction and S1 did not know the reason why those medications were removed from its original containers. The administrator observed and acknowledged that the medications should not have been removed from its original containers even for destruction. A review of (5) resident files was conducted and noted on the LIC 858. A review of (5) staff files was conducted and noted on the LIC 859. Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. This report is reviewed and discussed with administrator. A copy of this report and the appeal rights were provided.the state’s words, verbatim · CDSS document, Feb 4, 2026

Type of visit: Case Management - Other

On 11/6/2025, Licensing Program Analyst (LPA) Murial Han conducted an unannounced case management visit to follow-up on the elevator repair. LPA met with administrator, Delia Montano and explained the purpose of today's visit. On 10/30/2025, the administrator notified CCL that the elevator will undergo repair due to aging and is expected to be completed in about 2 weeks. The administrator submitted a plan of operation during the repair and a copy of the notification that was provided to the residents and their responsible parties. During today's visit, LPA did not observed construction work at the facility as the administrator explained that the physical structure of the elevator is fine and the repair is for the elevator controller. The administrator stated that additional staffing has been implemented during the repair for meal services, activities, etc. The administrator stated that they have informed the local fire department of the repair. The administrator provided a tour of the facility and demonstrated the meal service process for the residents on the 2nd floor. The activity director stated that there are activity programs on both floors during the repair. The administrator stated that the facility has hired several transportation companies to assist residents with going up and down the stairs for their medical appointments. LPA also observed 2 evacuation chairs on each side of the stairwell in case of emergency. No deficiency is cited today. This report is reviewed and discussed with the administrator, a copy is provided.the state’s words, verbatim · CDSS document, Nov 6, 2025

Type of visit: Required - 1 Year

On January 21, 2025 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. Upon entry, LPA met with Resident Care Coordinator, Anne Tiquez and LPA explained the purpose of today's visit. The administrator arrived during the tour of the facility and assisted with the inspection. LPA toured the facility with the resident care coordinator and the administrator . The facility is a two story building. No accessible bodies of water or fire safety hazards observed. The indoor and outdoor passageways were free of obstruction. LPA observed all bedrooms with emergency call buttons, adequate furniture, and sufficient lighting. Bathrooms/shower rooms and toilets have grab bars and non-skid mats. Hot water temperature in the kitchen, bathrooms, shower rooms and resident rooms were measured at 105-115 degrees F. LPA toured the kitchen and observed 2-days perishable and 7- days non-perishable present. Linen closet was reviewed. Bed sheets, linens, and towels were observed to be sufficient at this time. Chemicals, toxins, and sharps objects were locked and inaccessible to residents. Facility is equipped with smoke detectors and carbon monoxide detectors. Fire extinguisher was last serviced on 2/2/2024. Fire drill records observed to be sufficient. During the tour in the kitchen with the resident care coordinator, LPA also observed the kitchen floor underneath the dishwater sinks appeared to be black with grease stains. In addition, LPA observed an opened carton of egg nog with an expiration date of January 11, 2025. At 9:35AM, during the tour of the facility with the resident care coordinator, LPA observed resident #2 (R2) with oxygen in the dining room with other residents and there was no "No Smoking - Oxygen in Use" sign around the area. According to the resident care coordinator, the "No-smoking - Oxygen in Use" signs are posted by the resident's rooms and not the dining room/dining area. At 9:56AM, during the tour of the facility with the resident care coordinator, LPA observed resident #1 has a bottle of Refresh eardrops at the bedside table. At 10:14 AM, during the tour of the facility with the administrator, LPA observed the medication cart consisted of little plastic containers of medications stored in a few big plastic boxes for the PM shift, HS shift, and AM shift for the following day. A review of (5) resident files was conducted and noted on the LIC 858. A review of (5) staff files was conducted and noted on the LIC 859. Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. This report is reviewed and discussed with administrator and the resident care coordinator. A copy of this report and the appeal rights were provided.the state’s words, verbatim · CDSS document, Jan 21, 2025

Type of visit: Required - 1 Year

On February 14, 2024, Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA met with administrator and explained the purpose of today's visit. LPA toured the facility with administrator. The facility is a two story building. No accessible bodies of water or fire safety hazards observed. The indoor and outdoor passageways were free of obstruction. LPA randomly toured 10 resident rooms at the facility. All bedrooms observed with emergency call buttons, adequate furniture, and sufficient lighting. Bathrooms/shower rooms and toilets have grab bars and non-skid mats. Hot water temperature in the kitchen, 2nd floor living/activity room, shower/bathrooms and resident rooms were measured at 105-113 degrees F. LPA toured the kitchen and observed 2-days perishable and 7- days non-perishable present. Linen closet was reviewed. Bed sheets, linens, and towels were observed to be sufficient. Medications are locked in the medication room on the 1st floor and inaccessible to residents in care. Chemicals, toxins, and sharps objects were locked and inaccessible to residents. Facility is equipped with smoke detectors and carbon monoxide detectors. Fire extinguisher was last serviced on 2/2/2024. Fire drill records observed to be sufficient. LPA reviewed 5 resident records that contained Admission Agreement, Appraisal Needs and Service Plan, Resident Identification information, Pre-appraisal assessment, and 1 out of 5 resident's medical assessment (LIC 602) was not updated. LPA reviewed 4 staff files and all of them contained personnel records, health screening, Abuse Statement, First Aide/CPR, Criminal Record Statement, fingerprint cleared, and training records. Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. This report is reviewed and discussed with administrator. A copy of this report and the appeal rights were provided.the state’s words, verbatim · CDSS document, Feb 14, 2024