Senior Care Records.

Facility Evaluation Report

Mission Villa Senior Living, Daly City07/17/2025Licence 415601046

Capacity60
Census56
Date signed07/17/2025 01:15:44 PM
Name of licensing program analystKomal Charitra
Name of licensing program managerApril Cowan
The inspector’s account

On July 17, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual visit. LPA met with Administrator, Shayan Gheisar and explained the purpose of the visit.

LPA toured facility and grounds, no accessible bodies of water or fire safety hazards observed. This is a two story memory care facility. LPA toured the facility including but not limited to a random sample of resident rooms on both floors, common areas, and kitchen area. LPA observed residents doing activities and eating lunch. A comfortable temperature 71 degrees F is maintained in the facility and lighting is sufficient for comfort. Hot water temperature measured between 111-118 degrees F throughout the facility. Overall facility was in clean, odor-free and free from any tripping hazards. Resident rooms and bathrooms observed had all required furnishings; bathrooms equipped with grab bars.

LPA toured kitchen and observed 2 days for perishables and and 7 days non-perishable. Medications, sharps and chemicals were locked and inaccessible to residents. Emergency drill are being conducted and logged every 3 months. Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current as of November 2024. First aid kits were observed present and complete.

Five resident records and five staff records were reviewed. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic requirement. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated.

No citations are issued during the visit. Report is reviewed with the administrator and a copy is provided.

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