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Inspection visit

Follow-up on corrections

ELITE MANOR RESIDENTIAL CARELicense 3746027974 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

On 6/2/2023, Licensing Program Analyst (LPA) Janette Romero arrived unannounced to the facility to complete an investigation. LPA was greeted by Caregiver Lorenza Tuazon Faeldan who was informed of the purpose of the visit. Administrator William Lee arrived during the visit. During this visit, LPA discovered the following deficiencies: Caregivers John Paul Mabunga Hernandez and Lorenza Tuazon Faeldan are not associated to the facility. During record review, LPA observed the facility had Medication Administration Records for R1, R2, R3, R4, and R5, that were not completed for today's morning medications. Also observed, unidentified medication in R1's medication container. R1's file was missing the following documentation: Admission agreement, medical assessment, consent forms, weight record, identification, immunization record, TB test, safeguards for cash resources, safeguards for property/valuables, personal rights, cash resources information. R4's file was missing the following documentation: Admission agreement, medical assessment, consent forms, weight record, identification, emergency information, immunization record, TB test, safeguards for cash resources, safeguards for property/valuables, personal rights, cash resources information. This report was discussed with Administrator Lee and a copy was provided along with an LIC809, LIC809-D, LIC421BG and Appeal Rights.

Citations

4 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.

  • 87355(e)(2)Type A

    (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c)This requirement was not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above by failing to associate 2 out of 5 staff employed at the facility.

  • 87465(a)(4)Type B

    (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed.

  • 87465(e)Type B

    (e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician, on a prescription blank, maintained in the residents file, and a label on the medication... This requirement was not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above by having a bottle of unidentified medication in R1's medication container.

  • 87506(a)Type A

    (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement was not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above by failing to maintain a current record for 2 out of 5 residents at the facility.

FAQ · About this visit

Common questions about this visit

What happened during the June 2, 2023 inspection of ELITE MANOR RESIDENTIAL CARE?

This was a other inspection of ELITE MANOR RESIDENTIAL CARE on June 2, 2023. 4 citations were issued: 2 Type A (serious) and 2 Type B.

Were any citations issued to ELITE MANOR RESIDENTIAL CARE on June 2, 2023?

Yes, 4 citations were issued (2 Type A, 2 Type B). The first citation was for: "(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prio..."

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.