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Inspection visit

Routine inspection

M&M BOARD & CARELicense 36642641812 citations on this visit
12 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required comprehensive a nnual inspection. LPA was granted entry and met with Administrator, Victor Mercado to discussed the purpose for the visit. The facility is a Residential Care Facility for Elderly (RCFE) with a license capacity of (8), and a current census of (3). LPA conducted a general inspection of facility, which included, but was not limited to, the following: Operation/Physical Plant: Indoor and outdoor passageways were kept free of obstruction. The facility has no swimming pools or similar bodies of water. The facility has sufficient indoor and outdoor space for resident activities. The facility is maintained at a comfortable temperature of 73 degrees F. Resident bedrooms were furnished with beds, night stands, chairs, bed linen and lighting. LPA observed one of the resident's bathroom is not being utilized. The Administrator stated that the water supply in resident shower is shut-off due to "rust like" water coming out of shower fixture and not operating properly for a couple of months. The facility is equipped with operating carbon monoxide alarms, fully charged fire extinguishers, laundry equipment, and telephone service. The facility has posted in a common area Community Care Licensing complaint poster, Ombudsman poster, and personal rights. LPA observed motor oil, ZEP cleaning solutions, bug insecticide spray kept unlocked and unattended in the facility's backyard area. Food Service: Kitchen and dining areas were maintained cleaned. Non-perishable and perishable food supply was sufficient for number of residents in care. **continued on next page** Health Related Services: The facility maintains a first aid kit with manual. Medications are kept locked however, facility staff do not maintain a log of date and time medications are administered to resident #1(R1) and resident#3 (R3). Record Review: Residents file review reveals (R1), (R2), and (R3) did not have a reappraisal conducted within the last 12 months on file for LPA review. (R1) and (R2) do not have an admissions agreement of file for LPA to review. (R1) and (R2) did not have a medical assessment/physician's report with tuberculosis results on file for LPA review. Staff file review reveals Staff #1(S1) did not have a first Aid/CPR certification, orientation records, activities of daily living training, and a health screening with tuberculosis examination results for LPA review. The facility did not maintain an emergency and disaster plan on file for LPA review. Deficiencies were cited during today's visit per Title 22, of the California Code of Regulations and Health and Safety Code (HSC). An exit interview was conducted where this report (LIC809) and correction plans were discussed. Report copies were provided with appeal rights to Administrator Mercado at the conclusion of the visit.

Citations

12 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 LPA observations, the licensee did not comply with the section cited above by not having documentation of liability insurance for LPA review; which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.695(i)Type B

    Based on LPA observations, the licensee did not comply with the section cited above by not maintaining an emergency and disaster plan for review during inspection; which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87303(e)(6)Type A

    Based on LPA observations, the licensee did not comply with the section cited above by water supply in resident shower is shut-off due to "rust like" water coming out of shower fixture; which poses an immediate health, safety or personal rights risk to persons in care.

  • 87309(a)Type A

    Based on LPA observations, the licensee did not comply with the section cited above by having motor oil, ZEP cleaning solutions, bug insecticide spray, unlocked and unattended in the facility's backyard area; which poses an immediate health, safety or personal rights risk to persons in care.

  • 87411(c)(1)Type B

    Based on LPA observations, the licensee did not comply with the section cited above by not maintaining record of S1's first aid/CPR training; which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87411(f)Type B

    Based on LPA observations, the licensee did not comply with the section cited above by staff #1(S1) did not have record of a health screening and Tuberculosis (TB) clearance results on file for LPA to review; which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87412(c)Type B

    Based on LPA observations, the licensee did not comply with the section cited above by not maintaining record of staff #1(S1) orientation and documentation of at least ten hours of initial training;which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87458(a)Type B

    Based on LPA observations, the licensee did not comply with the section cited above by not having a Physician's report/Medication assessment for resident #1 (R1) and resident #2 (R2) on file for review;which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87458(c)(1)(A)Type B

    Based on LPA observations, the licensee did not comply with the section cited above by not maintaing record of resident#1 (R1's) and resident#2 (R2's) tuberculosis clearance results; which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87463(a)Type B

    Based on LPA observations, the licensee did not comply with the section cited above by not maintaining record of yearly reappraisals conducted for all three (3) residents in care which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(c)(3)Type B

    Based on LPA observations, the licensee did not comply with the section cited above by not maintaining record of date and time medications are given to (R1) and (R3) residents in care; which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87507(d)Type B

    Based on LPA observations, the licensee did not comply with the section cited above by not having resident#1 (R1's) and resident#2 (R2) admission agreements for review; 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 August 18, 2025 inspection of M&M BOARD & CARE?

This was a inspection inspection of M&M BOARD & CARE on August 18, 2025. 12 citations were issued: 2 Type A (serious) and 10 Type B.

Were any citations issued to M&M BOARD & CARE on August 18, 2025?

Yes, 12 citations were issued (2 Type A, 10 Type B). The first citation was for: "Based on LPA observations, the licensee did not comply with the section cited above by not having documentation of liabi..."

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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