Senior Care Records.

Facility Evaluation Report

Spyglass Senior Villa 4, Concord01/15/2025Licence 079201036

Capacity8
Census3
Date signed01/15/2025 02:08:40 PM
The inspector’s account

On 01/15/2025 Licensing Program Analyst (LPA) K. Nguyen met with Administrator, Shahid Siddiqui and conducted a case management during a pre-licensing visit.

The following deficiencies were observed during inspection:

LPA observed cleaning supplies and other chemical in all the bathroom cabinets.

LPA observed unlocked medication in a kitchen drawer, and inside resident dresser.

The following deficiencies were observed (see LIC 809 D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code. Failure to correct deficiencies by POC date may result in additional Civil Penalties.

Exit interview is conducted. A copy of appeal right and report is provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction