Inspection Reports for Castilla Lane Villa

24272 Castilla Lane, Mission Viejo, CA 92691, CA, 92691

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Inspection Report Summary

Most inspections found no deficiencies, with clean and well-maintained conditions noted in reports from July 12, 2021, July 27, 2022, and July 23, 2024. A complaint investigation on September 17, 2021, identified a safety issue when a resident with dementia left the facility unassisted; this was substantiated and corrected immediately. The most recent report from September 17, 2025, cited deficiencies for not conducting quarterly emergency drills and bathrooms needing repair due to mold and damage, along with untimely medication documentation. These issues were isolated and less severe compared to the earlier safety concern, indicating some areas needing attention but no enforcement actions or fines were listed in the available reports. Several complaint investigations were unsubstantiated, and the facility showed improvement in safety measures after the 2021 incident.

Deficiencies (last 4 years)

Deficiencies (over 4 years) 0.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

80% better than California average
California average: 4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2021
2022
2024
2025

Census

Latest occupancy rate 100% occupied

Based on a September 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

0 3 6 9 12 Jul 2021 Sep 2021 Jul 2022 Jul 2024 Sep 2025

Inspection Report

Annual Inspection
Census: 6 Capacity: 6 Deficiencies: 2 Date: Sep 17, 2025

Visit Reason
The inspection was an unannounced Required 1-Year annual evaluation using the CARE Inspection Tool to assess compliance with licensing requirements.

Findings
The facility operates within license conditions but had deficiencies including failure to conduct quarterly emergency drills and bathrooms not being clean or in good repair, with mold and a hole above a shower. Medication administration was correct but documentation was not timely.

Deficiencies (2)
Failure to conduct quarterly emergency drills; only one drill conducted on 08/06/2025.
Bathrooms not clean or in good repair; mold in grout and a hole above the shower in one bathroom.
Report Facts
Residents receiving hospice service: 3 Caregivers on duty: 2 Hot water temperature readings: 108.1 Hot water temperature readings: 107.4 Hot water temperature readings: 107.2 Hot water temperature readings: 106.8 Hot water temperature readings: 109.4 Hot water temperature readings: 110.8 Fire extinguisher service date: Apr 15, 2025 Emergency drill date: Aug 6, 2025

Employees mentioned
NameTitleContext
Sherry DizonAdministratorNamed in relation to inspection and exit interview
Jessica ChoLicensing Program AnalystConducted the inspection

Inspection Report

Annual Inspection
Census: 5 Capacity: 6 Deficiencies: 0 Date: Jul 23, 2024

Visit Reason
The inspection was an unannounced Required 1-Year annual inspection conducted using the CARE Tool to evaluate compliance with licensing regulations.

Findings
The facility was found to be clean, sanitary, and in compliance with regulations. No deficiencies were cited, but an advisory note was issued regarding the lack of a maintained emergency evacuation drill log.

Report Facts
Water temperature readings: 107.7 Water temperature readings: 116.6 Water temperature readings: 110.8 Water temperature readings: 106.3 Water temperature readings: 106.5 Fire extinguisher service date: Apr 23, 2024 Number of residents files audited: 5 Number of personnel files audited: 2 Number of residents medications audited: 5

Employees mentioned
NameTitleContext
Emmanuel DizonLicensee/AdministratorMet with Licensing Program Analyst during inspection and named in exit interview
Sherry DizonAdministratorMet with Licensing Program Analyst during inspection and named in exit interview
Jessica ChoLicensing Program AnalystConducted the inspection and signed the report
Lourdes MontoyaLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Annual Inspection
Census: 2 Capacity: 6 Deficiencies: 0 Date: Jul 27, 2022

Visit Reason
Licensing Program Analyst Albert Marin conducted an unannounced required annual inspection of the facility to evaluate compliance with licensing requirements.

Findings
The facility was found to be in good repair with no citations issued. Observations included two residents in care, proper infection control measures, operational safety alarms, adequate food stock, and compliance with Assembly Bill 665 regarding internet access devices.

Report Facts
Licensed capacity: 6 Current census: 2 Hot water temperature: 120

Employees mentioned
NameTitleContext
Albert MarinLicensing Program AnalystConducted the inspection and exit interview
Sherry DizonAdministratorSpoke with LPA during inspection and exit interview

Inspection Report

Complaint Investigation
Census: 2 Capacity: 6 Deficiencies: 1 Date: Sep 17, 2021

Visit Reason
The visit was conducted as a case management incident following an incident report received on September 16, 2021, stating that a resident left the facility without assistance.

Complaint Details
The visit was triggered by a complaint incident report regarding Resident 1 leaving the facility unassisted. The deficiency was substantiated and corrected during the visit.
Findings
A deficiency was observed related to failure to provide adequate safety measures to address wandering behavior of residents with dementia. Resident 1 was able to leave the facility unassisted, posing an immediate safety threat. The deficiency was corrected at the time of the visit.

Deficiencies (1)
Failure to provide safety measures to address wandering behavior of residents with dementia, allowing Resident 1 to leave the facility without assistance.
Report Facts
Capacity: 6 Census: 2 Deficiency Type: 1

Employees mentioned
NameTitleContext
Albert MarinLicensing Program AnalystConducted the unannounced case management visit and discussed deficiency and citation
Emmanuel DizonAdministratorFacility administrator present during the visit and exit interview

Inspection Report

Annual Inspection
Census: 3 Capacity: 6 Deficiencies: 0 Date: Jul 12, 2021

Visit Reason
An unannounced required annual inspection was conducted to evaluate the facility's compliance with regulatory standards.

Findings
The facility was observed to be in substantial compliance with Title 22 Division 6 of the California Code of Regulations. The environment was safe, clean, and well-maintained, with all safety equipment operational and adequate food and medication storage.

Report Facts
Residents under hospice care: 1 Staff members observed: 2 Private resident rooms: 6

Employees mentioned
NameTitleContext
Sherry DizonAdministratorMet with Licensing Program Analyst during inspection
Albert MarinLicensing Program AnalystConducted the inspection

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