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Inspection visit

complaint

MONA LIZALicense 3927002251 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 11-17-22 at 2:49pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to open and investigate the allegation noted above. LPA was greeted by staff1 (S1) and spoke with Acting Administrator (S2). LPA also spoke with Administrator Mothanna Saleh via phone and explained the purpose of the visit. LPA interviewed Administrator, acting administrator and S1. LPA also reviewed physician's report for R1. Additionally, LPA reviewed emergency response report for R1. Based on interviews and record reviews, it was determined that R1 eloped from facility on 11-9-22 and facility staff was unable to locate R1 between approximately 6:00am and 7:00am. It was further revealed that facility staff was unaware of R1's whereabouts during this time period until staff called 9-1-1 and learned of R1's admission to local hospital. Based on interviews and record reviews, it is determined that R1 was without staff supervision due to an absence without leave (AWOL) episode. As a result, this allegation is SUBSTANTIATED. Citation is issued today under Title 22, Health and Safety Code, Chapter 3.2 and noted on LIC 9099D. An immediate civil penalty of $500 is issued in addition to citation. An exit interview was conducted with S1 and a copy of this report was left with S1. Appeal rights provided.

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.

  • 1569.312(d)Type A

    Basic Service Requirements. Every facility required to be licensed under this chapter shall provide at least the following basic services: (d) Being aware of the resident's general whereabouts...This requirement was not met as evidenced by: Based on interview and record review, R1 eloped from facility on 11-9-22 and staff was unaware of R1's whereabouts for approximately 1 hour resulting in an absence of supervision. This posed an immediate health and safety risk to resident in care. An immediate civil penalty is assessed in addition to citation issued.

  • 87211(a)(D)Type B

    Reporting Requirements. (a)Each licensee shall furnish to the licensing agency such reports...including, but not limited to, the following:(D) Any incident which threatens the welfare, safety or health of any resident, such as...unexplained absence of any resident. This requirement is not met as evidenced by: Based on record review and interview, R1 eloped from facility on 11-9-22 and Licensee did not ensure a report was sent to licensing department per regulatory requirements. This posed a potential health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the November 17, 2022 inspection of MONA LIZA?

This was a complaint inspection of MONA LIZA on November 17, 2022. 1 citation were issued: 1 Type A (serious).

Were any citations issued to MONA LIZA on November 17, 2022?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "Basic Service Requirements. Every facility required to be licensed under this chapter shall provide at least the followi..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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.