Inspection visit

Routine inspectionApril 16, 2026

MONTEVERDE MANOR IILicense 41560066012 citations on this visit

12 citations recorded

Inspector’s narrative

What the inspector wrote

On April 16, 2026 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA met with caregivers Remus Buensuceso and Maria Buensuceso and LPA explained the purpose of the visit. The administrator, Dino Martin arrived shortly thereafter and assisted with the inspection. LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. LPA toured inside and outside including all of resident rooms, common areas, and kitchen area. The indoor and outdoor passageways were free of obstruction. Comfortable temperature is maintained and lighting is sufficient for comfort. Food supply was reviewed for adequate 2-day perishable and 7-day nonperishable at this time. Chemical, and sharps cabinets were observed to be locked and inaccessible to residents in care. However, Medication cabinets were unlocked and accessible to residents in care. The facility is approved for 1 bedridden resident in room 4,and LPA observed resident #6 (R6) who was deemed to be bedridden on the LIC 602 was residing in room 2 that was not approved for bedridden resident. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Emergency drills were reviewed to be adequate. A review of (6) resident files was conducted and noted on the LIC 858. A review of (2) staff files was conducted and noted on the LIC 859. During the review of staff files, LPA observed staff #1 (S1 ) and Staff #2 (S2) did not have a criminal background clearance. LPA spoke with the administrator who brought additional staff members to the facility and S1 and S2 were removed. Civil penalty is being assessed today for the following citations in the amount of $1500 - 87202(a)(2) Bedridden Persons- $500 - 87412(a)(13)(B) Criminal Background Clearance- $1000 The following forms and documents were requested to submitted to CCL by 4/27/2026: - liability insurance, Administrator Certification, LIC 500 and Lease Agreement Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in addition civil penalties. This report is reviewed and discussed with administrator. A copy of this report and the appeal rights were provided.

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.

1569.625(b)(2)Type B
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as based on records reveiw and interview, LPA observed S1 did not have annual training which poses/posed a potential health, safety or personal rights risk to persons in care.
87202(a)(2)Type A
Facility must clear fire safety for bedridden persons
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as Based on documents reviewed, LPA observed R6 is bedridden, however, R6 was residing in a room that was not approved for bedridden resident which poses an immediate health, safety or personal rights risk to persons in care.
87219(a)Type A
Encourage resident participation in varied planned activities
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as upon entering the facility until the completion of the inspection, LPA did not observe any activities for the residents. LPA observed 4 residents were in bed, and 2 residents were on the couch in the living room (one was watching TV and the other one was sleeping). which poses an immediate health, safety or personal rights risk to persons in care.
87303(e)(2)Type A
Provide resident hot water for personal care
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed the hot water temperature in the kitchen and the resident bathroom/shower room was measured above 150 degree F which poses an immediate health, safety or personal rights risk to persons in care.
87405(d)(2)(3)Type A
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as based on observation, interview and record review, the facility has multiple repeat violations from the annual inspections from 2024, 2025 and 2026 which poses an immediate health, safety or personal rights risk to persons in care.
87412(a)(11)Type A
Include required health screening documents
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as based on records review, LPA observed S2 did not have a health screen which poses an immediate health, safety or personal rights risk to persons in care.
87412(a)(13)(B)Type A
Collect criminal clearance or exemption documentation
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed S1 and S2 did not have criminal background clearance which poses an immediate health, safety or personal rights risk to persons in care.
87456(a)(2)Type A
Perform a pre-admission resident appraisal
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as based on records review, LPA observed R3 did not have a pre-placement appraisal which poses an immediate health, safety or personal rights risk to persons in care.
87465(h)(2)Type A
Store centrally held medications in locked secure place
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as During the tour of the facility, LPA observed medications were unlocked and accessible to residents in care.which poses an immediate health, safety or personal rights risk to persons in care.
87608(a)(3)Type A
Maintain physician order documentation in resident record
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as based on observation and record review, LPA observed R3 and R5 have half bedrails by the head of the bed without a physician's order which poses an immediate health, safety or personal rights risk to persons in care.
87613(a)(2)(B)Type A
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed S2 did not have any training prior to providing care to the residents which poses an immediate health, safety or personal rights risk to persons in care.
87463(a)Type A
Update reappraisal at required intervals
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as based on records review, LPA observed R1 and R4 did not have an updated reappraisal which poses an immediate health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 16, 2026 inspection of MONTEVERDE MANOR II?

This was an inspection of MONTEVERDE MANOR II on April 16, 2026. 12 citations were issued: 11 Type A (serious) and 1 Type B.

Were any citations issued to MONTEVERDE MANOR II on April 16, 2026?

Yes, 12 citations were issued (11 Type A, 1 Type B). The first citation was for: "Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as based ..."

What type of inspection was this?

This was an inspection. Inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLD View original report

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Data from CCLD public records. Last updated June 15, 2026. If you believe any information is inaccurate, report it here.

Routine inspection·April 16, 2026