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Inspection visit

Incident investigation

MINI MANOR HOMELicense 1986032791 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 9/30/21, Licensing Program Analysts (LPA) Martessa Brown conducted a case management. LPA was met by Lan Nio, the Caregiver. LPA explained the purpose of todays visit. LPA was told by administrator the police came to facility yesterday regarding resident R1 and staff #1. LPA did not receive an incident or a police report. Administrator stated was in the process the reports. Staff #1, showed LPA a written statement that was in a note book related to the incident. During today's visit LPA observed injures to resident #1. LPA interviewed r1 regarding the incident. LPA asked administrator regarding this incident and informed her LPA did not receive an incident report. Deficiency Cited Under California Code of Regulations Title 22, Division 6 Chapter 8 and civil penalties assessed. See attached LIC 809-D An exit interview conducted report and appeal rights 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.

  • 87468.1(2)Type B

    87468.1 Personal Rights of Residents in All Facilities(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.This requirement was not met as evidence by: Based on LPAs interviews and document reviews Staff #1 did not take temperature at entry. Residents #1-4 and staff #1-2 temperatures were not log.This poses a potential health and safety risk to all residents in care.

  • 87211(a)(D)Type B

    87211 Reporting Requirement:(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse...This requirement was not met as evidence by: During LPA's interviews conducted with administrator and resident #1. Administrator did not submit an incident report to LPA regarding R1's incident's at the facility.This poses a potential health and safety risk to all residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 30, 2021 inspection of MINI MANOR HOME?

This was an other inspection of MINI MANOR HOME on September 30, 2021. 1 citation were issued: 1 Type B.

Were any citations issued to MINI MANOR HOME on September 30, 2021?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87468.1 Personal Rights of Residents in All Facilities(2) To be accorded safe, healthful and comfortable accommodations,..."

What type of inspection was this?

This was an 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.