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Inspection visit

Office review

CATHEDRAL MANORLicense 3364084891 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

An Informal Meeting was conducted today via Zoom due to COVID-19 in order to discuss recent concerns and facility's operation. Persons present at today’s meeting were: Licensing Program Manager (LPM) Joel Esquivel, Licensing Program Analyst (LPA) Crystal Colvin, and Administrator Verly S. Frias. Licensee was not present during discussion, but Administrator confirmed ability to stand in on their behalf. Below are the topics that were addressed during the Informal Meeting tele-visit: Reporting Requirements Training Records for Staff Bedridden Clearance Facility's Options Regarding Resident Currently Awaiting Hospital Discharge Retaliation for Complaints History of Facilities (Cathedral Manor & Majintin Ville) LPA Colvin will additionally be issuing the facility a deficiency for the facility's consistent failure to report events concerning residents' health and well-being to Community Care Licensing. LPM Joel Esquivel and LPA Crystal Colvin offered Administrator Verly S. Frias the Technical Support Program (TSP) Assistance. The Administrator declined the TSP Program at this time. An exit interview was conducted and a copy of this report along with LIC809D with deficiency noted, and appeal rights were provided via email to Administrator Verly S. Frias for signature.

Citations

1 citation 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.

  • 87211(a)(1)Type B

    Reporting Requirements: (a) Each licensee shall furnish...such reports... including,...:(1) A written report shall be submitted to the licensing agency...within seven days of the occurrence of any of the events... This requirement was not met by: Based on record review, the Licensee did not comply with the above regulation. LPA Colvin observed that no incident reports have been submitted to Licensing since July 2020. This is a potential safety risk for all residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 31, 2021 inspection of CATHEDRAL MANOR?

This was a other inspection of CATHEDRAL MANOR on August 31, 2021. 1 citation were issued: 1 Type B.

Were any citations issued to CATHEDRAL MANOR on August 31, 2021?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Reporting Requirements: (a) Each licensee shall furnish...such reports... including,...:(1) A written report shall be su..."

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.