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Inspection visit

Follow-up on corrections

MONDELL PINE MANOR ILicense 1976102512 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 5/09/2025, Licensing Program Analyst (LPA) Melissa Spaeth conducted a complaint investigation for Complaint #31-AS-20250508155156. During LPA's visit, LPA observed a staff member who has not been fingerprint cleared. The facility manager confirmed the staff member had been working at the facility for the four past days. The LPA Spaeth spoke to the Licensee, Jerome Viray at 12:45 pm. LPA Spaeth stated to the Administrator the staff member must immediately leave the facility. LPA Spaeth the staff member left the facility 1:00 pm. LPA toured the facility at 1:00 pm until 1:15 pm. LPA observed the delayed egress device to the sliding glass door was not working. LPA observed the facility manager turned on egress device at 1:30 pm. Due to LPA observations, the following deficiencies were issued (see 809-D). Exit interview, appeal rights discussed, and a copy of the report was given.

Citations

2 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.

  • 87761(b)Type A

    87761 Penalties (b)…an immediate penalty of $100 …per day for a maximum of five (5) days shall be assessed if any individual required to be fingerprinted …has not obtained a California clearance or a criminal record exemption… This is evidenced by: The Licensee failed to ensure a staff member had obtained a California Clearance or a criminal record exemption. This poses an immediate health and safety risk to residents in care.

  • 88705(k)Type A

    88705 Care of persons with Dementia (k) The following initial & continuing requirements must be met...to utilize delayed egress devices on exterior doors or perimeter fence gates. This is evidenced by: Based on LPA's observations, the licensee did not comply with the section cited above. LPA observed the delayed egress alarm to the sliding glass door had been turned off. which poses an immediate health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 9, 2025 inspection of MONDELL PINE MANOR I?

This was a other inspection of MONDELL PINE MANOR I on May 9, 2025. 2 citations were issued: 2 Type A (serious).

Were any citations issued to MONDELL PINE MANOR I on May 9, 2025?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "87761 Penalties (b)…an immediate penalty of $100 …per day for a maximum of five (5) days shall be assessed if any indivi..."

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.