Inspection Reports for
San Mateo Villa
1661 McKinley St, San Mateo, CA 94403, CA, 94403
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
75% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
83% occupied
Based on a April 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 3
Date: Apr 24, 2025
Visit Reason
An unannounced required 1-year comprehensive inspection was conducted to evaluate compliance with licensing requirements.
Findings
The facility was found to have deficiencies related to staff training and resident records. Staff had not completed required annual dementia and hospice care training. One resident's physician reports were outdated, posing potential health and safety risks.
Deficiencies (3)
HSC 1569.625(b)(2): Staff have not completed the required 8 hours of annual dementia training, with last training documented in 2016 and 2017. This poses a potential health and safety risk to residents.
HSC 1569.696(a): Staff have not completed the required 4 hours of annual training on hospice care, postural supports, and restricted health conditions. No proof of such training was found.
CCR 87506(a): Resident #1 does not have current physician reports; reports are over one year old with no updated assessments on file. This poses a potential health and safety risk.
Report Facts
Residents present: 5
Licensed capacity: 6
Staff files reviewed: 3
Resident files reviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Viducich | Administrator | Facility administrator present during inspection and named in report |
| Jaime Vado | Licensing Program Analyst | Conducted the inspection and signed the report |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Date: May 7, 2024
Visit Reason
An unannounced annual required inspection was conducted to evaluate compliance with licensing regulations.
Findings
The facility was found to be clean, odorless, well maintained, and free of obstructions. No deficiencies were cited during the inspection.
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
Date: Dec 2, 2023
Visit Reason
The visit was an unannounced annual inspection conducted to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to be in good condition with no deficiencies cited. A technical violation and technical advisories were issued, but no deficiencies were observed during the visit.
Report Facts
Residents on hospice: 1
Inspection Report
Complaint Investigation
Census: 5
Capacity: 6
Deficiencies: 0
Date: Dec 30, 2022
Visit Reason
An unannounced complaint investigation visit was conducted to investigate an allegation that staff neglected the care of a resident resulting in a stage 4 pressure injury.
Complaint Details
The complaint alleged staff neglected care resulting in a stage 4 pressure injury. The allegation was found to be unfounded based on medical records, interviews, and the fact that the home health agency was responsible for the injury.
Findings
The investigation found that the resident did have a stage 4 pressure injury, but the home health agency was responsible for the injury during the relevant time. The allegation of neglect by the facility was found to be unfounded.
Report Facts
Capacity: 6
Census: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Emely De La Cruz | Caregiver | Met during the investigation and explained the purpose of the visit |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 2
Date: Jun 9, 2022
Visit Reason
The visit was an unannounced annual infection control inspection conducted as part of the required yearly evaluation.
Findings
The inspection found deficiencies related to unsecured sharps accessible to residents and lack of documentation for daily screening logs for staff, residents, and visitors. The facility corrected the sharps storage deficiency during the visit.
Deficiencies (2)
CCR 87705(f)(1): The facility failed to lock knives or store them inaccessible to residents, posing an immediate health and safety risk. The deficiency was corrected during the inspection by securing the knives in a locked cabinet.
CCR 87468.1(a)(2): The facility failed to provide documentation for daily screening logs for residents, staff, and visitors. The administrator will implement documentation of screening outcomes.
Report Facts
PPE supply duration: 30
Perishable food duration: 2
Non-perishable food duration: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Viducich | Administrator | Named in relation to findings and plan of correction |
| Komal Charitra | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Census: 3
Capacity: 6
Deficiencies: 0
Date: Aug 2, 2021
Visit Reason
An unannounced case management tele-inspection was conducted to deliver an amended report to the facility and clarify the confidentiality status of a prior complaint report.
Findings
The Licensing Program Analyst informed the licensee that the previous complaint report was incorrectly marked confidential and will now be public. No other changes were made and no citations were issued.
Inspection Report
Complaint Investigation
Census: 3
Capacity: 6
Deficiencies: 0
Date: Jul 19, 2021
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation of illegal eviction received on 07/15/2021.
Complaint Details
The complaint alleged illegal eviction. The investigation was unsubstantiated as there was insufficient evidence to prove the alleged violations occurred.
Findings
The investigation found a misunderstanding between the licensee and hospital regarding the resident's discharge and return to the facility. The facility initially did not allow the resident back due to admission agreement violations but later allowed the resident to return on 07/15/2021. The allegations were unsubstantiated due to lack of preponderance of evidence.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jaime Vado | Licensing Evaluator | Conducted the complaint investigation visit. |
| Elizabeth Viducich | Administrator | Facility administrator met during the investigation. |
| Julio Montes | Supervisor | Supervisor overseeing the investigation. |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
Date: Jun 29, 2021
Visit Reason
An unannounced annual required inspection was conducted by the Licensing Program Analyst to evaluate compliance with licensing regulations.
Findings
The facility was found to be clean, odorless, and well maintained with no deficiencies observed. Safety measures and resident records were in compliance with Title 22 regulations.
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