Skip to main content

Inspection visit

complaint

MORI MANORLicense 0192010541 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Staff filed missing person report to local law enforcement. Police reports confirmed R1 AWOLed on the said dates. Based on information gathered, the preponderance of evidence has been met, therefore the allegation of 'staff did not adequately supervise resident (R1) while in care' is closed as substantiated. Deficiency is cited from Title 22 California Code of Regulations, and listed on 9099D. Failure to submit proof of correction by plan of correction due date may result in civil penalty. Allegation: Staff do not maintain records regarding resident (R1) in care. It was alleged that when law enforcement responded and went to the facility, the staff were not able to provide information for R1. All staff interviewed stated R1 does not have record at the facility. During the 10-day initial visit on June 28, 2023, LPA asked the administrator for R1's file and administrator stated R1 has no record. Based on information obtained, the preponderance of evidence has been met, therefore the allegation of 'staff do not maintain records regarding resident (R1) in care' is substantiated. Deficiency section 87506(a) was cited during annual inspection on July 18, 2023 with proof of correction to be submitted by 8/01/23. Deficiencies, plan and proof of corrections were discussed with the administrator. Copy of this report, Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.

Citations

8 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.

  • 1569.312(a)Type A

    §1569.312 Basic services requirements Every facility required to be licensed under this chapter shall provide at least the following basic services: (a) Care and supervision as defined in Section 1569.2.-This requirement is not met as evidenced by: -Based on interviews and review of police reports, the licensee did not comply with the section above for R1 who was able to AWOL which posed immediate safety risk to person in care.

  • 1569Type B

    §1569.69 Employees assisting residents with self-administration of medication; training requirements(b) Each employee who received training and passed the examination... and who continues to assist with the self-administration of medicines, shall also complete four hours.. of in-service training on medication-related issues in each succeeding 12-month period.-This requirement is not met as evidenced by:-Based on records review and interview, the licensee did not comply with the section for S3 not having the required hours of annual medication training,

  • 87355(e)(1)Type A

    87355 Criminal Record Clearance(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required.... ... by the Department-This requirement is not met as evidenced by:-Based on observation, interview and Guardian Portal check, the licensee did not comply with section above for having S1 work without fingerprint clearance.This is a repeat violation.

  • 87355(e)(2)Type B

    87355 Criminal Record Clearance(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance ... This requirement is not met as evidenced by:-Based on records review, the licensee did not comply with the section above for S2 who is not associated to this facility.This is a repeat violation within 12 month period. First violation was issued on 7/18/23.

  • 87411(a)Type B

    87411 Personnel Requirements - General; (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.-This requirement is not met as evidenced by: -Based on records review, the licensee did not comply with the section above for staff affixing initial on R4's MAR but the medication was not administered.

  • 87465(e)Type A

    87465 Incidental Medical and Dental Care: (e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician, on a prescription blank, maintained in the residents file..... -This requirement is not met as evidenced by:-Based on observation and interview, the licensee did not comply with the section above for R4 who has insulin but no file and/or record of doctor's order. Insulin was not administered and facility does not have discontinued order. It's not clear it the med is still needed.

  • 87470(c)Type B

    87470 Infection Control Requirements(c) An Infection Control Plan shall be developed by the licensee and shall be included in the Plan of Operation required by Section 87208.-This requirement in not met as evidenced by: -Based on interview and records review, the licensee did not comply with the section above for not having an Infection Control Plan which poses potentiall health risk to persons in care.

  • 1569.605Type B

    §1569.605 Liability insurance; coverage requirements: On and after July 1, 2015, all residential care facilities for the elderly, .... shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate.....-This requirement is not met as evidenced by:-Based on records review and interview, the licensee did not comply with the section for not having insurance coverage under licensee's name.

FAQ · About this visit

Common questions about this visit

What happened during the July 27, 2023 inspection of MORI MANOR?

This was a complaint inspection of MORI MANOR on July 27, 2023. 1 citation were issued: 1 Type A (serious).

Were any citations issued to MORI MANOR on July 27, 2023?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "§1569.312 Basic services requirements Every facility required to be licensed under this chapter shall provide at least t..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

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