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Inspection visit

Follow-up on corrections

BELMONT GUESTS RETREAT ILicense 3060033971 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On October 27, 2025, Licensing Program Analyst (LPA) Edward Kim conducted a case management deficiency visit unrelated to an allegation of complaint # 22-AS-20251022110928. LPA interviewed Administrator (ADMIN) Elizabeth Mullins, who stated they submitted the LIC624A for a death report through mail on October 10, 2025. Per record review, As of October 27, 2025, LPA observed on the Serious Incident Report (SIR) OCRO portal that there was no death report submitted for R1 when they passed away. There is no record of the LIC624A being received within seven days of R1's death on October 7, 2025. A deficiency was cited by Title 22 Division 8 Chapter 6. An exit interview was conducted, and a copy of this report and appeal rights were provided to Administrator Elizabeth Mullins.

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.

  • 87507(g)(5)(A)Type B

    87507(g)(5)(A) Refund conditions. (A)Facility policy concerning refunds, including the conditions under which a refund for advanced monthly fees will be returned in the event of a resident’s death, pursuant to Health and Safety Code section 1569.652.This requirement is not met evidenced by: Based on record review, interview, and observation, the licensee did not comply with the section cited above. A refund was not issued to R1’s responsible party who paid for the month of October. This poses a potential health and safety risk to persons in care.

  • 87211(a)(1)(A)Type B

    87211 (a)(1)(A) Reporting Requirements (a)Each licensee shall furnish... A written report... submitted to the licensing agency ... within seven days of... Death of any resident from any cause regardless of where the death occurred,This requirement is not met as evidenced by: Based on record review, interview, and observation, the licensee did not comply with the section cited above. A Death Report was not submitted to CCLD Orange County Regional Office within 7 days of when R1 passed away. This poses a potential health and safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the October 27, 2025 inspection of BELMONT GUESTS RETREAT I?

This was a other inspection of BELMONT GUESTS RETREAT I on October 27, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to BELMONT GUESTS RETREAT I on October 27, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87507(g)(5)(A) Refund conditions. (A)Facility policy concerning refunds, including the conditions under which a refund f..."

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.