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Inspection visit

Follow-up on corrections

PENDAR'S RESIDENTIAL CARELicense 4352019514 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Christine Kabariti arrived unannounced to conduct a case management – deficiencies visit. LPA met with Designated Administrator, Mario Lagan and Licensee, Marie Pendar. The purpose of the visit is to address Title 22 violations observed during a complaint investigation ( Control Number 26-AS-20250124153302). During the investigation, staff stated that on 01/23/2025 the only 2 staff working at the facility both left the facility to walk about 200 feet away (0.2 miles) to pick up R1, after R1 eloped from the facility. The staff instructed 1 resident to supervise 3 other residents for about 5-10 minutes while the staff went to get R1. Staff stated that the 1 resident who was asked to supervise the other resident was the most “reliable” to watch the remainder of the residents, as the resident had the most cognition. During the investigation, it was stated that R1’s elopement behavior began in the beginning of January 2025. Based on review of R1’s appraisal/needs and services plan it was last updated in year 2023. R1’s appraisal/needs and services plan was not updated to address R1’s new elopement behavior. During today's visit, LPA observed a pad lock device located at the bottom left side of the front entrance door. It was stated that the pad lock was installed to help reduce R1's elopement behavior. LPA observed an audible door alarm located at the top left of the front door, however, the door alarm was not working. Page 1 of 2. During today's visit, staff removed the pad lock located at the bottom left side of the front door. Licensee states a plan to replace the door alarm at the front door. Licensee states to be currently working with R1's insurance company to help implement a 1:1 staff for R1. It was also stated that on 04/25/2025, R1 eloped from the facility and was found by staff about 300 feet away from the facility. Based on review of the facility's incident reports, the facility did not report R1's elopement to the Department. Deficiencies were cited per California Code of Regulations, Title 22. See LIC809-D. An immediate $500 civil penalty was assessed due to absence of supervision on 01/23/2025. This report was reviewed with Licensee, Marie Pendar and a copy of the report and appeal rights were provided. Page 2 of 2.

Citations

5 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.

  • 87468.2(a)(4)Type A

    Right to sufficient care and qualified staff

    (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met as evidenced by: Based on observation, interview, and record review the licensee did not ensure resident (R1) was provided supervision to meet R1’s exit seeking behavior resulting in R1 leaving the facility unassisted which poses an immediate health, safety and personal rights risk to persons in care.

  • 87211(a)(1)(D)Type B

    (a) ... : (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. … (D) Any incident which threatens the welfare, safety or health of any resident, ... or unexplained absence of any resident. Based on interview, record review and observation the licensee did not ensure to report R1's elopement incidnet on 04/25/2025 to the Department which poses a potential health, safety and personal rights risk to persons in care.

  • 87307(d)(6)Type A

    Passageways and stairways kept clear

    (d) The following space and safety provisions shall apply to all facilities: (6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement is not met as evidenced by: Based on interview, record review, and observation the licensee did not ensure the front door was not free of obstruction as the front door contained a pad lock at the bottom left side of the front door which poses an immediate health, safety and personal rights risk to persons in care.

  • 87413(a)(1)Type A

    Coverage for absent regular staff members

    (a) In each facility: (1) When regular staff members are absent, there shall be coverage by personnel with qualifications adequate to perform the assigned tasks. This requirement is not met as evidenced by: Based on interview, record review and observation the licensee did not ensure that a staff member was present with 4 residents, when 2 out of 2 staff members left to pick up R1 after R1 eloped from the facility which poses an immediate health, safety, and personal rights risk to persons in care.

  • 87463(b)Type B

    Document required significant condition changes

    (b) The reappraisal shall document significant changes in the resident's physical, mental, cognitive, behavioral, or functional condition, including those required to be documented as specified in Section 87466, Observation of the Resident. This requirement is not met as evidenced by: Based on interview, record review and observation the licensee did not ensure to update R1’s reappraisal to document R1’s new behavior of elopement which poses a potential health, safety, and personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 19, 2025 inspection of PENDAR'S RESIDENTIAL CARE?

This was an other inspection of PENDAR'S RESIDENTIAL CARE on May 19, 2025. 4 citations were issued: 2 Type A (serious) and 2 Type B.

Were any citations issued to PENDAR'S RESIDENTIAL CARE on May 19, 2025?

Yes, 4 citations were issued (2 Type A, 2 Type B). The first citation was for: "(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in pr..."

What type of inspection was this?

This was an 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.