Inspection Reports for
Milan Villa Senior Living
740 Holmes St, Livermore, CA 94550, CA, 94550
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
4.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
8% worse than California average
California average: 4 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
83% occupied
Based on a December 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 20
Capacity: 24
Deficiencies: 1
Date: Dec 19, 2025
Visit Reason
The inspection was an unannounced complaint investigation conducted in response to allegations received on 2025-04-04 regarding failure to conduct re-evaluation after a resident's change in condition and failure to provide supervision to residents in care.
Complaint Details
The complaint investigation was substantiated for failure to conduct re-evaluation after resident's change in condition. The allegation regarding lack of supervision was unsubstantiated.
Findings
The investigation substantiated the allegation that the facility failed to update the reappraisal/care plan after a resident's change in condition, posing a potential health and safety risk. The allegation that staff did not provide supervision to residents was unsubstantiated based on evidence of regular checks and adequate staffing.
Deficiencies (1)
Failure to update reappraisal/care plan when resident had a change in condition, violating CCR 87463(a).
Report Facts
Capacity: 24
Census: 20
Plan of Correction Due Date: Jan 9, 2026
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janice Gombio | Executive Director | Met during investigation and exit interview; named in findings |
| Grace Luk | Licensing Program Analyst | Conducted the complaint investigation |
| Isabel Poderoso | Campus Director | Met during investigation |
Inspection Report
Complaint Investigation
Census: 20
Capacity: 24
Deficiencies: 0
Date: Dec 19, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation of a questionable death of a resident at Milan Villa Senior Living.
Complaint Details
The complaint alleged a questionable death of a resident. The investigation found no preponderance of evidence to prove the alleged violation occurred, resulting in an unsubstantiated finding.
Findings
The investigation included interviews and review of medical and incident records. The resident (R1) fell on 11/2/2024, sustained a hip fracture, underwent surgery, and passed away on 11/7/2024 due to complications. Although there was an allegation that another resident caused the fall, evidence was insufficient to substantiate the claim, and the allegation was determined to be unsubstantiated.
Report Facts
Facility capacity: 24
Census: 20
Date of resident fall: Nov 2, 2024
Date of resident death: Nov 7, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janice Gombio | Executive Director | Met during investigation and exit interview |
| Isabel Poderoso | Campus Director | Met during investigation and explained reason for visit |
| Grace Luk | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Annual Inspection
Census: 20
Capacity: 24
Deficiencies: 0
Date: Nov 14, 2025
Visit Reason
The inspection was an unannounced Required - 1 Year inspection conducted to evaluate the facility's compliance with licensing requirements.
Findings
The Licensing Program Analyst toured the facility and reviewed resident and staff files, medications, and safety equipment. No deficiencies were cited during this inspection.
Report Facts
Freezer temperature: -11
Refrigerator temperature: 36
Hot water temperature: 105.3
Fire extinguisher last serviced date: Jan 20, 2025
Last disaster drill date: Oct 20, 2025
Residents files reviewed: 5
Staff files reviewed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janice Gombio | Executive Director | Met with Licensing Program Analyst during inspection and exit interview |
| Grace Luk | Licensing Program Analyst | Conducted the inspection |
| Harpreet Humpal | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 19
Capacity: 24
Deficiencies: 0
Date: Mar 19, 2025
Visit Reason
An unannounced complaint investigation was conducted in response to allegations including neglect resulting in resident dehydration and development of pressure injuries while in care.
Complaint Details
The complaint was unsubstantiated after investigation. Allegations included neglect causing dehydration and pressure injuries, but evidence did not prove violations occurred.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Residents were given adequate fluids and repositioned regularly. No deficiencies were cited.
Report Facts
Capacity: 24
Census: 19
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janice Gombio | Executive Director | Met during investigation and exit interview |
| Isabel Poderoso | Campus Director | Met during investigation |
| Grace Luk | Licensing Program Analyst | Conducted the complaint investigation |
| Harpreet Humpal | Licensing Program Manager | Named in report header and signature |
Inspection Report
Complaint Investigation
Census: 19
Capacity: 24
Deficiencies: 0
Date: Mar 19, 2025
Visit Reason
An unannounced complaint investigation was conducted in response to allegations of neglect resulting in resident dehydration and development of pressure injuries while in care.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included neglect causing dehydration and pressure injuries. Interviews and document reviews did not support the claims.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Residents were given adequate fluids and repositioned regularly. No deficiencies were cited.
Report Facts
Capacity: 24
Census: 19
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janice Gombio | Executive Director | Met during investigation and exit interview |
| Isabel Poderoso | Campus Director | Met during investigation |
| Grace Luk | Licensing Program Analyst | Conducted complaint investigation |
| Harpreet Humpal | Supervisor | Supervisor overseeing investigation |
Inspection Report
Complaint Investigation
Census: 18
Capacity: 24
Deficiencies: 0
Date: Nov 27, 2024
Visit Reason
The inspection was conducted as a health and safety check following a complaint received on 2024-11-26.
Complaint Details
The visit was triggered by a complaint received on 2024-11-26. No deficiencies or violations were found, indicating no substantiated issues at the time of inspection.
Findings
The facility was found to be clean, in good repair, and residents appeared safe. No imminent health or safety concerns were noted and no deficiencies were cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janice Gambio | Administrator | Arrived during the inspection and involved in the visit related to complaint investigation. |
| Isabel Poderoso | Campus Director | Met with Licensing Program Analysts and explained the reason for the visit. |
| Laura Hall | Licensing Evaluator | Conducted the inspection. |
| Harpreet Humpal | Supervisor | Supervisor overseeing the inspection. |
Inspection Report
Complaint Investigation
Census: 18
Capacity: 24
Deficiencies: 0
Date: Nov 27, 2024
Visit Reason
The inspection was conducted as a health and safety check following a complaint received on 2024-11-26.
Complaint Details
The visit was triggered by a complaint received on 2024-11-26. No deficiencies or violations were found, and no imminent health or safety concerns were identified.
Findings
The facility was found to be clean, in good repair, and residents appeared safe. No imminent health or safety concerns were noted and no deficiencies were cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janice Gambio | Administrator | Arrived during the inspection and was involved in the visit. |
| Isabel Poderoso | Campus Director | Met with Licensing Program Analysts and explained the reason for the visit. |
| Laura Hall | Licensing Program Analyst | Conducted the inspection. |
| D. Doidge | Licensing Program Analyst | Conducted the inspection. |
Inspection Report
Annual Inspection
Census: 17
Capacity: 24
Deficiencies: 6
Date: Nov 14, 2024
Visit Reason
The inspection was an unannounced Required - 1 Year annual inspection conducted to evaluate compliance with licensing regulations at Milan Villa Senior Living.
Findings
The inspection identified multiple deficiencies including lack of bedridden fire clearance, uncleared staff fingerprinting, missing admission agreement, missing current medical assessment, unlocked medication in resident's room, and medication not administered per doctor's orders. Civil penalties totaling $1850 were assessed.
Deficiencies (6)
Bedridden resident without a bedridden fire clearance.
Uncleared staff at the facility without fingerprint clearance.
Resident R5 does not have an admission agreement on file.
Resident R2 does not have a current medical assessment on file.
Unlocked cough medication found in a resident's room.
Resident R3's medication (Docusate Sodium) not administered according to doctor's orders.
Report Facts
Civil penalty: 500
Civil penalty: 100
Civil penalty: 250
Civil penalty: 250
Civil penalty: 250
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janice Gombio | Administrator | Met during inspection and involved in plan of correction agreements. |
| Grace Luk | Licensing Evaluator | Conducted the inspection and authored the report. |
| Harpreet Humpal | Supervisor | Supervisor overseeing the inspection. |
Inspection Report
Annual Inspection
Census: 17
Capacity: 24
Deficiencies: 6
Date: Nov 14, 2024
Visit Reason
The inspection was an unannounced Required - 1 Year annual inspection conducted to evaluate compliance with licensing regulations at Milan Villa Senior Living Facility.
Findings
The inspection identified multiple deficiencies including lack of a bedridden fire clearance, uncleared staff fingerprint clearance, missing admission agreement, missing current medical assessment for a resident, unlocked medication in a resident's room, and medication not administered according to doctor's orders. Civil penalties totaling $1350 were assessed.
Deficiencies (6)
Having a bedridden resident without a bedridden fire clearance.
Having uncleared staff (S5) at the facility without fingerprint clearance.
Not having admission agreement for resident R5.
Not having current medical assessment for resident R2.
Unlocked medication in resident's room.
Not administering resident R3's medication according to doctor's orders.
Report Facts
Civil penalty: 500
Civil penalty: 100
Civil penalty: 250
Civil penalty: 250
Civil penalty: 250
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janice Gombio | Administrator | Met during inspection and involved in plan of correction agreements. |
| Grace Luk | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Harpreet Humpal | Licensing Program Manager | Supervisor overseeing the inspection. |
Inspection Report
Complaint Investigation
Census: 18
Capacity: 24
Deficiencies: 1
Date: Oct 3, 2024
Visit Reason
The inspection was conducted as a case management visit in response to an incident report received on 2024-09-19 regarding a resident who was missing from the facility.
Complaint Details
The visit was complaint-related based on an incident report received on 2024-09-19. The complaint was substantiated by the finding that the resident was missing and the facility failed to comply with regulations to ensure resident safety.
Findings
The investigation found that a resident (R1) was missing from the facility with a broken window screen and locked room door. Staff called 911 and the resident was returned with police. The resident's physician had stated that R1 cannot leave unassisted. A deficiency was cited for failure to ensure resident safety.
Deficiencies (1)
Failure to ensure resident safety as evidenced by a resident missing from the facility, posing a potential health and safety risk.
Report Facts
Deficiencies cited: 1
Plan of Correction Due Date: Oct 18, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Isabel Poderoso | Campus Director | Met with Licensing Program Analyst during inspection and involved in incident discussion |
| Grace Luk | Licensing Program Analyst | Conducted the inspection and authored the report |
| Harpreet Humpal | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 18
Capacity: 24
Deficiencies: 1
Date: Oct 3, 2024
Visit Reason
The inspection was conducted as a case management visit in response to an incident report received on 2024-09-19 regarding a resident who was missing from the facility.
Complaint Details
The visit was complaint-related due to an incident report about a resident missing from the facility. The deficiency was substantiated as the resident was found missing and the facility failed to ensure adequate supervision.
Findings
The inspection found that a resident (R1) was missing from the facility with a locked room door and broken window screen, posing a potential health and safety risk. The facility called 911 and the resident was returned with police involvement. The physician's report stated the resident cannot leave unassisted. A deficiency was cited for failure to comply with regulations regarding resident supervision.
Deficiencies (1)
Additional Personal Rights of Residents in Privately Operated Facilities. Licensee did not comply by having a resident missing from the facility which poses a potential health and safety risk.
Report Facts
Deficiency Type: 1
Census: 18
Total Capacity: 24
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Isabel Poderoso | Campus Director | Met with Licensing Program Analyst during inspection and involved in incident discussion. |
| Grace Luk | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Harpreet Humpal | Licensing Program Manager | Supervisor overseeing the inspection. |
Inspection Report
Census: 18
Capacity: 24
Deficiencies: 1
Date: Feb 16, 2024
Visit Reason
An unannounced case management visit was conducted to evaluate compliance with medication storage regulations.
Findings
The Licensing Program Analyst observed unlocked medication and vitamins left unattended on a medication cart accessible to residents, which is a violation of California Code of Regulation, Title 22. The facility was cited for this deficiency and advised to secure medications to prevent health and safety risks.
Deficiencies (1)
Unlocked medication and vitamins were left on top of the medication cart while residents were walking around, with no staff present nearby.
Report Facts
Capacity: 24
Census: 18
Plan of Correction Due Date: Feb 17, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janice Gombio | Administrator | Met during inspection and agreed to re-train staff on medication storage |
| Isabel Poderoso | Campus Director | Met during inspection |
| Grace Luk | Licensing Program Analyst | Conducted the inspection and observed the deficiency |
| Harpreet Humpal | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 18
Capacity: 24
Deficiencies: 0
Date: Feb 16, 2024
Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that staff did not ensure the facility was free from pests.
Complaint Details
The complaint alleged that staff did not ensure the facility was free from pests. The investigation found no preponderance of evidence to substantiate the allegation, resulting in an unsubstantiated finding.
Findings
The investigation included interviews with residents, staff, and the complainant, review of pest inspection reports, and inspection of residents' beds. No evidence of bed bugs or other insects was found, and the allegation was determined to be unsubstantiated with no deficiencies cited.
Report Facts
Capacity: 24
Census: 18
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janice Gombio | Administrator | Met during investigation and mentioned in findings |
| Isabel Poderoso | Campus Director | Met during investigation and mentioned in findings |
Inspection Report
Census: 18
Capacity: 24
Deficiencies: 1
Date: Feb 16, 2024
Visit Reason
An unannounced case management visit was conducted by Licensing Program Analyst G. Luk to observe compliance and facility conditions.
Findings
A deficiency was observed where unlocked medication and vitamins were left unattended on a medication cart accessible to residents, posing an immediate health and safety risk. Staff acknowledged incorrect medication and vitamins were given, and were advised to keep medications locked and inaccessible.
Deficiencies (1)
Unlocked medication and vitamins left on top of medication cart accessible to residents, posing an immediate health and safety risk.
Report Facts
Capacity: 24
Census: 18
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janice Gombio | Administrator | Met during inspection and involved in findings discussion |
| Isabel Poderoso | Campus Director | Met during inspection and involved in findings discussion |
| Grace Luk | Licensing Program Analyst | Conducted the inspection and observed the deficiency |
| Harpreet Humpal | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 18
Capacity: 24
Deficiencies: 0
Date: Feb 16, 2024
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that staff did not ensure the facility was free from pests.
Complaint Details
The complaint was unsubstantiated as there was not a preponderance of evidence to prove the alleged violation occurred.
Findings
The investigation included interviews with residents, staff, and the complainant, as well as a review of pest inspection reports and inspection of residents' beds. No evidence of bed bugs or other insects was found, and the allegation was determined to be unsubstantiated with no deficiencies cited.
Report Facts
Capacity: 24
Census: 18
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janice Gombio | Administrator | Met with Licensing Program Analyst during investigation |
| Isabel Poderoso | Campus Director | Met with Licensing Program Analyst during investigation |
| Grace Luk | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Annual Inspection
Census: 15
Capacity: 24
Deficiencies: 6
Date: Nov 21, 2023
Visit Reason
The inspection was an unannounced Required - 1 Year annual inspection conducted to evaluate compliance with licensing regulations and facility standards.
Findings
The inspection identified multiple deficiencies including lack of current annual training for staff, missing medical assessments and reappraisals for residents, absence of TB test or chest x-ray results for some residents, missing prescribed medications, lack of fingerprint clearance for a staff member, and insufficient nonperishable food supplies. Civil penalties were assessed for fingerprint clearance and medication availability violations.
Deficiencies (6)
Staff S3 did not have current annual training completed.
Residents R3 and R4 did not have TB test or chest x-ray results on file.
Resident R2 did not have prescribed medications available and no discontinue orders for them.
Staff S4 was not fingerprint cleared and left the facility during the visit.
Facility did not have one week of nonperishable food supplies available on premises.
Resident R1 did not have current medical assessment and residents R1-R5 did not have current reappraisal needs and service plans on file.
Report Facts
Civil penalty amount: 500
Civil penalty amount: 500
Facility capacity: 24
Facility census: 15
Plan of Correction due date: Dec 15, 2023
Plan of Correction due date: Nov 28, 2023
Plan of Correction due date: Nov 22, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janice Gombio | Administrator | Met during inspection and involved in plan of correction agreements |
| Isabel Poderoso | Campus Director | Met during inspection |
| Grace Luk | Licensing Program Analyst | Conducted the inspection and authored the report |
| Harpreet Humpal | Licensing Program Manager | Supervisor of the inspection |
Inspection Report
Routine
Census: 16
Capacity: 24
Deficiencies: 2
Date: Nov 18, 2022
Visit Reason
Unannounced infection control inspection conducted as a required 1-year visit to assess compliance with infection control and safety regulations.
Findings
The inspection found unlocked cleaning supplies and laundry detergent accessible to residents, and only one available shower room for 16 residents with two others used for storage. These deficiencies pose health and safety risks and were cited with plans of correction required.
Deficiencies (2)
Unlocked cleaning supplies and laundry detergent accessible to residents, posing an immediate health and safety risk.
Only one shower available for 16 residents, with two other shower rooms filled with storage items, posing a potential health and safety risk.
Report Facts
Capacity: 24
Census: 16
Plan of Correction Due Date: Nov 19, 2022
Plan of Correction Due Date: Nov 25, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Bibi Barase | Admission and Marketing Director | Met with Licensing Program Analysts during inspection |
| Grace Luk | Licensing Program Analyst | Conducted the inspection and signed the report |
| Harpreet Humpal | Licensing Program Manager | Supervised the inspection and signed the report |
Inspection Report
Routine
Census: 13
Capacity: 24
Deficiencies: 1
Date: Nov 18, 2021
Visit Reason
The inspection was an unannounced Infection Control Inspection conducted as a required 1-year visit to assess compliance with infection control regulations.
Findings
The facility was generally compliant with infection control practices including COVID-19 protocols, hand hygiene, and PPE availability. One deficiency was observed where the housekeeping door was unlocked with cleaning supplies accessible, posing a health and safety risk. The lock was fixed and verified during the inspection.
Deficiencies (1)
Unlocked housekeeping door with cleaning supplies accessible, posing an immediate health and safety risk to persons in care.
Report Facts
Capacity: 24
Census: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janice Gombio | Administrator | Met during inspection and involved in addressing deficiency |
| Isabel Poderoso | Campus Director | Met during inspection |
Inspection Report
Original Licensing
Census: 15
Capacity: 24
Deficiencies: 0
Date: Nov 19, 2020
Visit Reason
The inspection was a Tele-visit Pre-licensing inspection conducted via Zoom due to shelter in place directives, to evaluate the facility's readiness for licensing approval.
Findings
No issues were noted during the inspection. The facility was observed to be ready to be licensed, with all areas toured and safety measures in place, including fire clearance, medication storage, and emergency plans.
Report Facts
Fire extinguisher last serviced date: Jul 8, 2020
Emergency disaster plan completion date: May 29, 2020
Hot water temperature: 107
Non-perishable food supply: 7
Perishable food supply: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Toby Tilford | Licensee | Spoke with Licensing Program Analyst during inspection |
| Maria Agcaoili | Administrator | Spoke with Licensing Program Analyst during inspection |
| Isabel Poderosa | Campus Director | Spoke with Licensing Program Analyst during inspection |
| Janice Gombio | Administrator in training | Spoke with Licensing Program Analyst during inspection |
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