Milan Villa Senior Living.
Milan Villa Senior Living is Ranked in the top 32% of California memory care with 15 CDSS citations on record; last inspected Dec 2025.
24-Bed Memory Care Facility in Livermore with Notable Inspection History, reviewed on public record.
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Compared to 152 California facilities with a similar number of beds.
RCFE memory care · 36-month window. Higher percentile = better performance on inspection record. Source: California Dept. of Social Services · Community Care Licensing.
among peers to rank.
Rankings based on 36-month CDSS inspection data. Severity and frequency: fewer citations = higher percentile. Repeat rate: lower repeat citation share = higher percentile.
FACILITY WATCH · BETA
Milan Villa Senior Living has 15 citations on record. Know the moment anything changes.
New findings, complaint investigations, or status changes — emailed to you free.
Citation history, plotted month by month.
15 deficiencies on record. Each bar is a month with a citation.
Finding distribution
15 total · 36 monthsScope × Severity (CMS A–L)
The rules that apply to this facility.
State requirements with the exact regulation citation, plain-language explanation, and a question to ask on tour. Rules this facility has been cited for appear first.
Plain language
Because a facility markets dementia or Alzheimer's care, state law mandates higher training standards: 12 hours of initial dementia training (6 hours before a staff member works independently with residents, 6 more within the first 4 weeks), 8 hours of annual dementia in-service every year thereafter, and an administrator must include 8 hours of dementia-specific continuing education in every 2-year recertification cycle. Training must cover individualized care plans, behavioral expressions, appropriate supervision, and the facility's dementia care philosophy.
Ask on tour
“Can you show me each direct-care staffer's most recent dementia training certificate, and tell me when their next refresher is due?”
Questions to ask before you visit.
A short pre-tour checklist tailored to Milan Villa Senior Living's record and state requirements.
State records show 8 Type A deficiencies, meaning citations for actual harm to residents — what were the specific circumstances of these citations, what corrective actions were taken, and have any recurred?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
Milan Villa has been cited twice under §87705 or §87706 for dementia care requirements — what specific violations occurred, and what changes to staff training or care protocols resulted?
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Four complaints have been filed with CDSS during the inspection period — which complaints were substantiated, what were the findings, and what operational changes followed?
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Every inspection visit, verbatim.
9 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.
2025-12-19Annual Compliance VisitNo findings
Plain-language summary
A resident passed away on November 7, 2024, following complications from a fall that occurred on November 2, 2024. The facility was investigated to determine whether another resident had pushed or pulled the deceased resident to the floor, but staff interviews and witness statements did not provide enough evidence to prove this occurred—staff gave conflicting accounts of how the fall happened, and the resident accused of causing the fall had no history of physical aggression toward others. The investigation concluded the allegation was unsubstantiated.
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R1 passed away on 11/7/2024 as a result of complications of the procedure. Interview with witness indicated during the 911 call staff (S2) stated R1 fell as a result of being pulled or pushed by another resident (R2). However, interview with staff (S2 and S3) revealed that they did not know how R1 fell. S2 stated he did not know why he reported during the 911 call that R2 pulled or pushed R1 to the floor and R2 did not say that she pushed R1. S2 does not know how R1 ended up on the floor, but R2 reported that R1 had fallen. S3 stated R1 had a history of falls prior to the incident on 11/2/2024. Interview with staff and residents revealed that R2 did not have a history of physical aggression towards residents or R1. Residents (R3 and R4) stated R1 would walk into other resident’s rooms and take their belongings. Staff (S2 and S3) stated R2 would get upset with R1, but R2 was only seen to be verbally aggressive towards R1. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is UNSUBSTANTIATED . Exit interview conducted with Janice Gombio. A copy of this report was provided.
2025-12-19Complaint InvestigationMixedType B · 1 finding
Plain-language summary
A complaint investigation found that one allegation against the facility was substantiated, meaning inspectors found evidence the violation did occur. A second allegation was unsubstantiated, meaning inspectors could not find enough evidence to prove it happened. The facility received citations related to California regulations.
“Based on interview and record review, licensee did not comply with the section cited above by not updating reappraisal/care plan when R1 had a change in condition which poses a potential health and safety risk to the persons in care.”
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Based on LPA's information obtained during investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED . California Code of Regulations, Title 22, are being cited on the attached LIC9099D. Exit interview conducted with Janice Gombio. A copy of this report and appeal rights provided. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is UNSUBSTANTIATED . Exit interview conducted with Janice Gombio. A copy of this report provided.
2025-11-14Other VisitNo findings
Plain-language summary
An unannounced routine inspection was conducted on November 14, 2025, which included a tour of the facility, review of resident and staff records, and medication checks. The inspector found that temperatures in food storage and hot water were appropriate, safety equipment including grab bars, smoke detectors, and fire extinguishers were in place and maintained, and resident and staff files were complete. No violations were cited.
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On 11/14/2025 at 2:00PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Executive Director, Janice Gombio and informed her the reason for the visit. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, activity rooms, kitchen, common areas, and outdoor area. Freezer’s temperature was registered at -11 degree F while the refrigerator’s temperature was recorded at 36 degrees F. Hot water temperature was measured at 105.3 degrees F in a resident bathroom. Grab bars and non-skid mats were observed in the showers and toilets. Smoke detectors were interconnected with sprinkler system. Carbon monoxide detectors were observed. Fire extinguishers were observed to be full and last serviced on 1/20/2025. First Aid kit is complete. Last disaster drill was conducted on 10/20/2025. LPA reviewed 5 residents and 4 staff files starting at 3:00PM. Residents' and staff files were complete. Staff were fingerprint cleared and associated to the facility. LPA reviewed a sample of resident's medications during inspection. No deficiencies are being cited on this date. Exit interview conducted with Janice Gombio. A copy of this report provided.
2025-03-19Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
A complaint alleged that a resident developed pressure injuries while in the facility's care, but investigators found no evidence to support this claim. Staff records showed the resident was repositioned every two hours, and hospice notes indicated the resident was at high risk for pressure injuries but did not document that any actually developed. The complaint was closed unsubstantiated.
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Resident developed pressure injuries while in care. Interview with W1 revealed that R1 did not develop pressure injuries during the time R1 was on hospice care. Interview with staff revealed that R1 was repositioned every 2 hours. R1's home health notes indicated that R1 was high risk of pressure sore, but did not indicate that R1 had pressure sore. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did occur, therefore these allegations are UNSUBSTANTIATED . No deficiencies are being cited on this date. Exit interview conducted with Janice Gombio. A copy of this report provided.
2024-11-27Annual Compliance VisitNo findings
Plain-language summary
Inspectors visited the facility on November 27, 2024, following a complaint received the day before, and found the facility clean and in good repair with no health or safety concerns. Residents were observed in common areas, bedrooms, and hallways appearing safe, and the facility maintained adequate food supplies. No violations were cited.
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On 11/27/2024 at 10:20am, Licensing Program Analysts (LPAs), L. Hall and D. Doidge arrived unannounced to conduct a health and safety check as a result of the department receiving a complaint on 11/26/2024. LPA met with Isabel Poderoso, Campus Director, and explained the reason for the visit. Administrator, Janice Gambio, arrived at 10:53am. During the health and safety check, LPAs toured the facility including but not limited to common areas, kitchen, bathrooms, bedrooms and outdoor area. LPAs observed resident sitting in common area watching television, in bedrooms, and hallway. The facility is noted to be clean, in good repair, and residents in care appear to be safe. There is a minimum of 7-day non-perishables and 2-day perishables foods that is kept in the sister facility next door. There are no imminent health/safety concerns on today's date. No deficiencies were cited today. Exit interview conducted and a copy of this report provided.
2024-11-14Annual Compliance VisitType A · 6 findings
Plain-language summary
During a routine annual inspection on November 14, 2024, inspectors found several issues: cough medication was left unlocked in a resident's room (staff locked it during the visit), a resident's required medical assessment was missing from their file, another resident's admission agreement was not on file, a resident's prescribed medication was not being given as ordered by their doctor, and the facility did not have proper fire safety clearance for a bedridden resident. The facility was assessed a $500 civil penalty and cited for these violations.
“Based on interview and record review, the licensee did not comply with the section cited above by having a bedridden resident without a bedridden fire clearance which poses an immediate health and safety risk to persons in care. POC Due Date: 11/15/2024 Plan of Correction 1 2 3 4 Administrator has agreed to notify the fire department. Administrator will submit proof of notification to fire department, LIC200, and updated facility sketch to CCLD by POC date. Civil penalty of $500 is being assessed.”
“Based on record review, the licensee did not comply with the section cited above by having uncleared staff at the facility which poses an immediate health and safety risk to persons in care. POC Due Date: 11/15/2024 Plan of Correction 1 2 3 4 S5 left the facility during inspection. Administrator stated that S5 has recently resigned and will not be working at the facility. Civil penalty of $100 is being assessed.”
“Based on record review, the licensee did not comply with the section cited above by not having admission agreement for R5 which poses a potential health and safety risk to persons in care. POC Due Date: 11/20/2024 Plan of Correction 1 2 3 4 Administrator has agreed to obtain a copy of R5's admission agreement and submit a copy to CCLD by POC date.”
“Based on record review, the licensee did not comply with the section cited above by not having current medical assessment for R2 which poses a potential health and safety risk to persons in care. POC Due Date: 12/09/2024 Plan of Correction 1 2 3 4 Administrator has agreed to obtain current medical assessment for R2 and submit a copy to CCLD by POC date. Civil penalty of $250 is being assessed for a repeat violation.”
“Based on observation, the licensee did not comply with the section cited above by having unlocked medication in resident's room which poses an immediate health and safety risk to persons in care. POC Due Date: 11/15/2024 Plan of Correction 1 2 3 4 Staff locked up the cough medication during inspection. Deficiency cleared. Civil penalty of $250 is being assessed for a repeat violation.”
“Based on interview and record review, the licensee did not comply with the section cited above by not administering R3's medication per doctor's orders which poses an immediate health and safety risk to persons in care. POC Due Date: 11/15/2024 Plan of Correction 1 2 3 4 Staff was able to clarity R3's docusate sodium order and obtained a new order for R3's medication. Deficiency cleared. Civil penalty of $250 is being assessed for a repeat violation.”
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On 11/14/2024 at 9:50AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with staff, Honey Yang and informed her the reason for the visit. Administrator, Janice Gombio arrived an hour later. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, activity rooms, kitchen, common areas, and outdoor area. Freezer’s temperature was registered at -10 degree F while the refrigerator’s temperature was recorded at 36 degrees F. Hot water temperature was measured at 106.5 degrees F in the hallway bathroom. Grab bars and non-skid mats were observed. There were adequate lights in each room. First Aid kit is complete. Smoke detectors were interconnected with sprinkler system. Carbon monoxide detector was observed. Fire extinguishers were observed to be full and last serviced on 1/4/2024. Indoor and outdoor passages were free of obstruction. LPA reviewed 5 residents and 4 staff files starting at 10:55AM. LPA reviewed a sample of resident's medications. LPA interviewed 3 staff during inspection. At 10:30AM, LPA reviewed Guardian system and observed S5 is not fingerprint cleared. At 11:30AM, LPA observed R2 does not have current medical assessment on file. At 11:40AM, LPA observed R5 does not have admission agreement on file. At 1:30PM, LPA observed unlocked cough medication in a resident's room. Staff locked up the medication during inspection. (Continue on LIC809C...) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 At 2:30PM, LPA observed R3's Docusate Sodium was not given according to doctor's order. R3 had doctor's order for Docusate 250mg daily at bedtime and Docusate 100mg as needed. Both orders were not discontinued. However, LPA observed on R3's MAR that Docusate was a PRN (as needed). Staff stated that R3 have not been taking Docusate daily. At 4:30PM, LPA R4's medical assessment stated that R4 is bedridden. R4 is not currently receiving hospice care. Staff stated that R4 needs assistance with turning and repositioning. Facility does not have a bedridden fire clearance. Civil penalty of $500 is being assessed. Facility was given technical violations and reports will be provided. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report, civil penalties, and appeal rights were provided.
2024-10-03Other VisitType B · 1 finding
Plain-language summary
On October 3, 2024, inspectors conducted an unannounced visit following an incident on September 19 where a resident left the facility through a broken window screen. The resident's doctor had documented that this resident could not leave the facility without help, but staff did not have adequate safeguards in place to prevent the incident; the resident was found by police and returned safely. The facility was cited for this violation and notified of potential penalties if it is not corrected.
“Based on interview and record review, licensee did not comply with the section cited above by having a resident missing from the facility which poses a potential health and safety risk to the persons in care.”
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On 10/3/2024 at 3:30PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management inspection in regards to incident report received on 9/19/2024. LPA met with Campus Director, Isabel Poderoso and explained the purpose of the visit. Incident report dated 9/19/2024 revealed that staff observed resident (R1) was not at the facility. R1's room door was locked and staff observed R1's window screen was broken. Facility called 911 and R1 returned to the facility with police. R1's family and doctor was notified. Interview with staff revealed that R1 exhibited behaviors in the morning of the incident including agitation, refusal of meals and medications, and restlessness. During record review, LPA observed that physician's report dated 1/17/2024 stated that R1 cannot leave the facility unassisted. The deficiency was observed (see LIC 809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiency may result in civil penalty. Exit interview conducted. A copy of this report and appeal rights provided.
2024-02-16Complaint InvestigationType A · 1 finding
Plain-language summary
During an unannounced visit on February 16, 2024, an inspector observed medication and vitamins left unlocked and unattended on a medication cart while residents were in the area, and staff later reported that incorrect medication had been given to residents. The facility was cited for failing to keep medication secure and inaccessible to residents, and was advised that medication must be locked up. The facility was warned that failure to correct this issue could result in civil penalties.
“Based on observation, licensee did not comply with the section cited above by having unlocked medication and vitamins which poses an immediate health and safety risk to the persons in care.”
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On 2/16/2024 at 12:30PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management visit. LPA met with Administrator, Janice Gombio and Campus Director, Isabel Poderoso. While LPA was at the facility for another visit, LPA observed the following deficiency: At around 10:00AM, LPA observed unlocked medication and vitamins was left on top of medication cart while residents were walking around. There was no staff present near the medication cart. Staff came back a couple minutes later and stated incorrect medication and vitamins was given. LPA advised staff the medication and vitamins needs to be locked up and inaccessible to residents. The deficiency was observed (see LIC 809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiency may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights provided.
2023-11-21Annual Compliance VisitType A · 6 findings
Plain-language summary
During a required annual inspection on November 21, 2023, inspectors found that the facility was missing required medical records for some residents (including current medical assessments and tuberculosis test results), did not have one staff member's fingerprint clearance completed before they worked with residents, did not have three of a resident's prescribed medications on site, and was missing current training documentation for one staff member. The facility's safety features—including fire suppression systems, grab bars, water temperature controls, and food storage equipment—were in good working order. A $500 civil penalty was assessed for these deficiencies.
“Based on record review, the licensee did not comply with the section cited above by not having current annual training for S3 which poses a potential health and safety risk to persons in care. POC Due Date: 12/15/2023 Plan of Correction 1 2 3 4 Administrator has agreed to obtain current annual training for S3 and submit training certificates to CCLD by POC date.”
“Based on record review, the licensee did not comply with the section cited above by not having TB test or chest x-ray results for two residents which poses a potential health and safety risk to persons in care. POC Due Date: 12/15/2023 Plan of Correction 1 2 3 4 Administrator has agreed to obtain R3 and R4's TB test and chest x-ray results and submit a copy to CCLD by POC date.”
“Based on record review, the licensee did not comply with the section cited above by not having fingerprint clearance for S4 which poses an immediate health and safety risk to persons in care. POC Due Date: 11/22/2023 Plan of Correction 1 2 3 4 Administrator asked S4 to leave the facility during inspection. Administrator has agreed that S4 will not come back to the facility until fingerprint clear has been completed. Administrator has agreed to follow up with Guardian and submit an update of S4's clearance status to CCLD by POC date. Civil penalty of $500 is being assessed.”
“Based on observation and record review, the licensee did not comply with the section cited above by not having R2's prescribed medications available which poses an immediate health and safety risk to persons in care. POC Due Date: 11/22/2023 Plan of Correction 1 2 3 4 Administrator has agreed to either obtained the three medications or to get a discontinued order for the three medications. Administrator will submit picture or document proof to CCLD by POC date.”
“Based on observation, the licensee did not comply with the section cited above by not having one week of nonperishable foods which poses a potential health and safety risk to persons in care. POC Due Date: 11/28/2023 Plan of Correction 1 2 3 4 Administrator has agreed to purchase additional nonperishable foods or purchase emergency food for the facility. Administrator will submit receipt to CCLD by POC date.”
“Based on record review, the licensee did not comply with the section cited above by not having current medical assessment for R1 and current reappraisal for five residents which poses a potential health and safety risk to persons in care. POC Due Date: 12/15/2023 Plan of Correction 1 2 3 4 Administrator has agreed to obtain current medical assessment for R1 and reappraisals for R1-R5. Administrator will submit documents to CCLD by POC date.”
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On 11/21/2023 at 11:10AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Administrator, Janice Gombio and Campus Director, Isabel Poderoso. The facility’s fire clearance was approved for 24 non-ambulatory residents of which 12 residents may be under hospice care. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, activity rooms, kitchen, common areas, and outdoor area. Freezer’s temperature was registered at -20 degree F while the refrigerator’s temperature was recorded at 36 degrees F. Hot water temperature was measured at 108 degrees F in a resident's bathroom. Grab bars and non-skid mats were observed. There were adequate lights in each room. Centrally stored medications were locked in medication carts located outside the med room. First Aid kit is complete. Smoke detectors were interconnected with sprinkler system. Carbon monoxide detector was observed. Fire extinguishers were observed to be full and last serviced on 1/23/2023. Indoor and outdoor passages were free of obstruction. Last fire drill was conducted on 10/16/2023. LPA reviewed 5 resident and 3 staff files starting at 12:45PM. LPA interviewed 3 residents starting at 11:42AM. LPA reviewed a sample of resident's medications starting at 4:00PM. LPA interviewed 3 staff starting at 4:40PM. At 11:30AM, LPA observed facility does not have one week of non-perishable food supplies available. LPA was informed that non-perishable food supplies are kept at a different location. At 1:15PM, LPA observed R1 does not have current medical assessment and R1-R5 does not have current reappraisal needs and service plans on file. (Continue on LIC809C...) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 At 1:30PM, LPA observed R3 and R4 does not have TB test or chest x-ray results on file during record review. At 2:00PM, LPA observed S3 does not have current annual training completed. At 4:30PM, LPA observed R2 does not have the following medications at the facility including: Hydrocodone Acetaminophen 325mg, Robitussin Peak Cold DM syrup, and Carbamide Peroxide Solution. LPA observed R2 does not have discontinue orders for the three medications. At 5:10PM, LPA observed on Guardian that S4 was not fingerprint cleared. S4's status on Guardian was "closed - incomplete application". LPA observed that S4 left the facility during visit. Civil penalty of $500 is being assessed. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and Health & Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report, civil penalty, and appeal rights were provided.
2 older inspections from 2021 are not shown in the free view.
2 older inspections from 2021 are not shown in the free view.
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