Skip to main content

Inspection visit

Follow-up

MONA LIZALicense 3927002251 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 11-17-22 at 3:51pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to conduct a case management visit regarding facility file documentation. LPA met with Mothanna Saleh via phone and explained the purpose of the visit. LPA also met with staff1 (S1) and S2 and explained the purpose of the visit. During a complaint investigation for complaint #27-AS-20221110163839, LPA reviewed incident report for resident1 (R1). It was revealed through interviews and record reviews R1 eloped from facility on 11-9-22, and the incident report was not sent to licensing department per regulatory requirements. Based on today's case management visit, citation is issued under Title 22, Division 6 and noted on LIC 809D. 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 other inspection of MONA LIZA on November 17, 2022. 1 citation were issued: 1 Type B.

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

Yes, 1 citation was issued (0 Type A, 1 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 other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.