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Inspection visit

Correction check

MORI MANORLicense 019201054
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct proof of correction (POC) visit, and met with Ferdinand Gutierrez, administrator. LPA informed the reason for visit. On July 6, 2023, LPAs Delmundo and Fontanilla started the annual required inspection. Deficiency section 87204(a) was cited for having 2 non-ambulatory residents in ambulatory only rooms. Administrator stated he'll have the residents moved to rooms with fire clearance for non-ambulatory with proof of correction (POC) to be submitted by July 7, 2023. A civil penalty was assessed on July 6, 2023 which will continue until corrected. As of this day, July 18. 2023, administrator has not submitted the POC, LPA Delmundo conducted inspection and interviewed staff (S1) and administrator who both stated that resident (R3) was only moved on Tuesday, July 11, 2023. An additional civil penalty of $400.00 is assessed on this day for $100.00/day from July 8, 2023 to July 11, 2023 and was discussed with the administrator. Administrator has to leave, and authorized JulyFrancia Yambao, staff, to sign and received this report. Copy of this report, Appeal Rights and LIC421FC Civil Penalty Assessment provided.

Citations

18 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 1569.153(a)Type B

    Based on observation, the licensee did not comply with the section cited above for not posting facility's Theft and Loss Policy which poses a potential personal rights risk to persons in care.

  • 1569.269(a)(2)Type B

    Based on observation and interview, the licensee did not comply with the section cited above for having cameras installed that capture audio which poses a potential personal rights risk to persons in care.

  • 1569.625(b)(2)Type B

    Based on interview and record review, the licensee did not comply with the section cited above for 4 staff not having the required annual training which poses a potential health, safety and/or personal rights risk to persons in care.

  • 1569.695(c)Type B

    Based on interview and reord review, the licensee did not comply with the section cited above for not conducting disaster driill which poses a potential safety risk to persons in care.

  • 87303(a)Type B

    Based on observation, the licensee did not comply with the section cited above for the following: (a) pieces of carpet, wood, metal, rolled carpet, piece of glass, fitted bedsheet in the side yard; (b) mattress, window screen, hoyer lift, pieces wood, bedsheet, grinder in the backyard; (c) broken window blinds and protruding cable wires in room # 2. These pose a potential safety and/or personal rights risk to persons in care.

  • 87303(i)Type B

    Based on observation, the licensee did not comply with the section cited above for resident not having signal system or call button which pose a potential health, safety and/orr personal rights risk to persons in care.

  • 87307(a)(3)Type B

    Based on observation, the licensee did not comply with the section cited above for not having paper towels for residents use for drying hands in 2 bathrooms which pose a potential health and/or personal rights risk to persons in care.

  • 87355(e)(2)Type B

    Based on record review, the licensee did not comply with the section cited above for staff (S6) not associated to this facility which poses a potential personal rights risk to persons in care.

  • 87411(a)Type B

    Based on observation and interview and review of staff schedule, the licensee did not comply with the section cited above for not having sufficient staff which poses a potential health, safety and/or rsonal rights risk to persons in care.

  • 87411(c)(1)Type B

    Based on record review, licensee did not comply with the section cited above for 1 staff with no CPR/First and 4 staff with expired CPR/First Aid certiicates on file which posed a potential safety and/or personal rights risks to persons in care.

  • 87458(b)(1)Type B

    Based on record review, the licensee did not comply with the section cited above for R5 not having TB test on file which poses a potential health risk to persons in care.

  • 87458(b)(5)Type B

    Based on observation, interviews and record review, the licensee did not comply with the section for R7 who is non-ambulatory but LIC602A Physician's Report indicated ambulatory which poses a potential health and safety riisks to person in care.

  • 87465(f)(1)Type B

    Based on observation, the licensee did not comply with the section cited above for not having LIC9020 Register of Facility Clients/Residents which poses/posed a potential health,or personal rights risk to persons in care.

  • 87465(h)(2)Type A

    Based on observation, the licensee did not comply with the section cited above for the insulin in the refrigerator which poses an immediate health and safety risks to persons in care.

  • 87468(c)(2)(A)Type B

    Based on observation, licensee did not comply with the section cited above for not posting Complaint poster which poses a potential personal rights risk to persons in care.

  • 87506(a)Type B

    Based on interview and rord review, the licensee did not comply with the section cited above for R4 and R6 not having records which pose a potential health, safety and/or personal rights risks to persons in care.

  • 87608(a)Type B

    Based on interview and record review, the licensee did not comply with the section cited above for not having doctor's order for R2's half bed rails which poses a potential safety and/or personal rights risk to persons in care.

  • 87355(e)(1)Type A

    Based on interview and record review, the licensee did not comply with the section cited above for S1 not fingerprint cleared which poses an immediate safety and/or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the July 18, 2023 inspection of MORI MANOR?

This was a other inspection of MORI MANOR on July 18, 2023. The inspection found no deficiencies and no citations were issued.

Were any citations issued to MORI MANOR on July 18, 2023?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.