Inspection visit

Routine inspectionApril 25, 2024

MAYON BOARD AND CARE, INC.License 07560112717 citations on this visit

17 citations recorded

Inspector’s narrative

What the inspector wrote

On 4/25/2024 at 3:00 PM, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct Required 1 Year Annual inspection. LPA met with staff Jovito Panelo. LPA spoke with Administrator, Arthur Panelo and explained the purpose of the visit. LPA have verbal permission for staff Leven to sign the report. The facility’s fire clearance was approved for 6 Non ambulatory. LPA toured facility with Jovito including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 7 total bedrooms which 6 bedrooms are occupied by the residents and 1 bedroom is occupied by staff. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents . Residents’ bathroom is equipped with grab bars and non-skid mats. There is a minimum of 7 day supply of nonperishable and 2 day of perishable foods. Centrally stored medication is inaccessible to residents. Smoke detectors and carbon monoxide detector were in operating condition during visit. LPA observed a purchased extinguisher with receipt attached dated 5/3/2023. First aid kit was observed to be complete. LPA reviewed 5 residents records. LPA reviewed 3 staff records and 2 of 3 have current first aid training and associated to the facility. LPA reviewed a sample of resident’s medications. Report continues on 809 C Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 5/17/2024: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Current Administrator’s Certificate The following deficiencies were observed: 3:10pm knives observed under sink left unlock. 3:15pm chemical in garage are left unlock. 3:20pm observed expired can goods in the garage, and green are not good eating condition. 3:30pm observed to have boxes blocking the emergency gate on the side of the building. Bed frame, mattress, and a tall table are blocking the emergency exit. 3:35pm observed window screens out the side door is disrepair. 3:40pm observed and tested resident hot water to be 127.9. 3:50pm Resident Medication log (MAR) are not being kept constantly. 4:30pm Resident record review physician report are not up to date with dementia resident. 4:50pm Staff record review missing files all files except for fingerprint/ background clearance. Report continue on LIC 809c 5:15pm Resident with dementia do not have current MA on files. 5:30pm Resident do not have an update needs and service plan. 6:00pm facility do not have an appropriate fire clearance for bedridden. The following deficiencies were observed (see LIC 809 D) and cited from the California Code of Regulations, Title 22 and Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.

Citations

17 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.

1569.605Type B
Based on record review, the licensee did not comply with the section cited above there are no proof of current liability insurance, which poses/posed a potential health, safety or personal rights risk to persons in care.
1569.33(h)Type B
Based on record review, the licensee did not comply with the section cited above in facility do not have staff training records on files, which poses/posed a potential health, safety or personal rights risk to persons in care.
1569.618(a)Type B
Based on record review, the licensee did not comply with the section cited above did no see designated notice on files, which poses/posed a potential health, safety or personal rights risk to persons in care.
1569.618(c)(3)Type B
Based on record review, the licensee did not comply with the section cited above do not have CRP and first Aid certificate, which poses/posed a potential health, safety or personal rights risk to persons in care.
87303(c)Type B
Keep window screens clean and in repair
Based on observation, the licensee did not comply with the section cited above facility window screen is in disrepair, which poses/posed a potential health, safety or personal rights risk to persons in care.
87303(e)(2)Type A
Provide resident hot water for personal care
Based on observation, the licensee did not comply with the section cited by hot water measure at 127.9 F, which poses an immediate health, safety or personal rights risk to persons in care.
87307(d)(6)Type B
Passageways and stairways kept clear
Based on observation, the licensee did not comply with the section cited above observed to have boxes blocking the emergency gate on the side of the building. Bed frame, mattress, and a tall table are blocking passageway, which poses/posed a potential health, safety or personal rights risk to persons in care.
87309(a)Type A
Ensure hazardous items are locked and not unattended
Based on observation the licensee did not comply with the section cited above cleaning and detergent are left unlock in the garage, which poses an immediate health, safety or personal rights risk to persons in care.
87412(e)Type B
Based on file review, the licensee did not comply with the section cited above facility do not have an LIC 500, which poses/posed a potential health, safety or personal rights risk to persons in care.
87456(a)(3)Type B
Obtain and evaluate recent medical assessment
Based on record review, the licensee did not comply with the section cited above by not having resident recent medical assessment, which poses/posed a potential health, safety or personal rights risk to persons in care.
87555(b)(23)Type B
Rapid-growth perishable foods must be covered
Based on observation, the licensee did not comply with the section cited above by having food that are not stored properly that are not eatable, which poses/posed a potential health, safety or personal rights risk to persons in care.
87606(c)Type B
Require fire clearance before non-temporary bedridden admission
Based on record review, the licensee did not comply with the section cited above by not having a proper fire clearance for bedridden resident, which poses/posed a potential health, safety or personal rights risk to persons in care.
87606(f)(3)Type B
Based on record review, the licensee did not comply with the section cited above by not having staff training of bedridden to care for resident that are on bedridden, which poses/posed a potential health, safety or personal rights risk to persons in care.
87705(c)(5)Type B
Based on record review, the licensee did not comply with the section cited above by nit having a current physician report for residents with dementia, which poses/posed a potential health, safety or personal rights risk to persons in care.
87705(f)(1)Type A
Notify agency before locking doors or gates
Based on observation the licensee did not comply with the section cited above knives was left unlock under the sink cabinet, which poses an immediate health, safety or personal rights risk to persons in care.
87465(d)(3)Type B
Record dose details and resident medication response
Based on record review the licensee did not comply with the section cited above by not keeping reocord of resident medication, which poses/posed a potential health, safety or personal rights risk to persons in care.
87202(a)(2)Type B
Facility must clear fire safety for bedridden persons
Based on interview, record review, the licensee did not comply with the section cited above by not having fire clearance for bedridden resdient, which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 25, 2024 inspection of MAYON BOARD AND CARE, INC.?

This was an inspection of MAYON BOARD AND CARE, INC. on April 25, 2024. 17 citations were issued: 3 Type A (serious) and 14 Type B.

Were any citations issued to MAYON BOARD AND CARE, INC. on April 25, 2024?

Yes, 17 citations were issued (3 Type A, 14 Type B). The first citation was for: "Based on record review, the licensee did not comply with the section cited above there are no proof of current liability..."

What type of inspection was this?

This was an inspection. Inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLD View original report

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Data from CCLD public records. Last updated June 8, 2026. If you believe any information is inaccurate, report it here.

Routine inspection·April 25, 2024