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Inspection visit

Routine inspection

MONTEVERDE MANORLicense 4156006637 citations on this visit
7 citations recorded

Inspector’s narrative

What the inspector wrote

On April 16, 2025 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA met with caregiver, Renato Pera and explained the purpose of the visit. The administrator arrived and assisted with the rest of the inspection. LPA toured the facility inside out and inspected the living room, dining area, kitchen, bedrooms, bathrooms, garage, side yard and backyard. The facility has 5 resident rooms (one shared room) and 1 staff room. Food supplies were sufficient of 2- days perishables and 7- days of non-perishables. Lamp and lights were present in all rooms and hallways. Toilet, hand washing and bathing areas were observed clean and in operating condition. Showers were observed equipped with non-skid mats and grab bars. Central storage for medications was locked. Hot water temperature in the kitchen and bathroom were measured at 130-160 degrees Fahrenheit. Fire extinguisher checked and last inspected on October 4, 2024. Sharps, chemical and toxins were observed to be locked and inaccessible to residents in care. Emergency drill records were inadequate. A review of (4) resident files was conducted and noted on the LIC 858. A review of (2) staff files was conducted and noted on the LIC 859. The following documents were requested submitted to CCL by 4/18/2025: - liability insurance; control property, and administrator certification. 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 additional civil penalties. This report is reviewed and discussed with administrator. A copy of this report and the appeal rights were provided.

Citations

7 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 S2 did not complete the required annual training which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.695(c)Type A

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as the facility did not have any documentation to proof that drills were conducted accordingly 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 he water temperature for the faucets used by residents were measured at 130- 160 degrees F which poses an immediate health, safety or personal rights risk to persons in care.

  • 87457(c)Type A

    Complete admission suitability appraisal

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as R1, R2 and R4 did not have pre-admission appraisals which poses an immediate health, safety or personal rights risk to persons in care.

  • 87463(a)Type B

    Update reappraisal at required intervals

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above R1 and R4 were admitted in 2023 and there was no reappraisals in their records which poses/posed a potential 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 R1 and R3 have bed rail without a written order from a physician which poses an immediate health, safety or personal rights risk to persons in care.

  • 87633(a)(1)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above the facility is approved for 1 hospice and is currently caring for 2 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 April 16, 2025 inspection of MONTEVERDE MANOR?

This was an inspection of MONTEVERDE MANOR on April 16, 2025. 7 citations were issued: 4 Type A (serious) and 3 Type B.

Were any citations issued to MONTEVERDE MANOR on April 16, 2025?

Yes, 7 citations were issued (4 Type A, 3 Type B). The first citation was for: "Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as S2 did..."

What type of inspection was this?

This was an inspection. 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.