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Inspection visit

complaint

BURBANK MANORLicense 4968030712 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

...Continued from LIC 9099 The rent for 7/2025 and 8/2025 were paid on 8/30/2025. The rent for 9/2025 was paid on 9/26/2025. The rent for 10/2026 was paid on time per the lease. Based on LPA’s interviews and expressed admission, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 Chapter 8, are being cited on the attached 9099D. Complaint alleges that an outside shed is being used for sleeping. During Terminix pest elimination company’s 7/1/2025 service visit the facility would not allow the inspector in the outside shed because an individual was sleeping in the shed. The facility has a large, finished two room shed in the back yard. The shed has not been approved by the fire department for occupancy. During an 8/20/2025 inspection LPA observed that the room contained dressers, hanging cloths, guitars on guitar stands as well as a desk area that had an empty can of soda and a piece of fruit. LPA further observed a full size mattress and box springs on a wooden bed frame. The shed was observed with a window air conditioner. During an inspection on 9/18/2025 LPA observed that the desk area had been cleaned and that the bed had been replaced with a couch. LPAs took Photographs of the shed during both inspections. In an interview the Licensee noted that the shed had been used as a break area in the past. Based on LPA’s interviews and observations, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 Chapter 8, are being cited on the attached 9099D. Exit interview conducted. Copy of LIC-9099, LIC-9099-C, LIC-9099D, Plan of Corrections and Appeal Rights discussed and provided to Administrator Gregorio. Signature on form confirms receipt of documents. ...Continued from LIC 9099 During Terminix’s 7/1/2025 service visit the inspection notes that there was no exterior rodent or wildlife evidence found. During a requested service call on 8/7/2025 the Terminix inspection documents note no rodent activity, but the facility was treated for fire ants. During a service call on 8/11/2025 the Terminix inspection notes state that rodent traps were placed around the facility as there was some evidence of rodent activity found. During a service call on 9/9/2025 the Terminix inspection notes state that rodent traps were reset in a crawlspace and that nothing was caught. In a letter dated 10/8/2025 the facility licensee stated that the back porch area has been cleared of all boxes and containers. LPA confirmed that the back porch area has been cleared of all boxes and containers. So, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted. Copy of LIC-9099 and LIC-9099-C discussed and provided to Administrator Gregorio. Signature on form confirms receipt of documents.

Citations

3 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.

  • 87202(a)Type B

    87202 Fire Clearance (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal...This requirement is not met as evidenced by: Based on observation & interviews, the licensee did not comply with the section cited above in the shed at the back of the facility was being used for occupancy which poses a potential health, safety or personal rights risk to persons in care.

  • 87213Type B

    87213 Finances The licensee shall have a financial plan..., Application for License, and that assures sufficient resources...for care of residents;... and shall submit such financial reports as may be required upon the written request of the licensing agency. This requirement is not met as evidenced by: Based on observation & interviews, the licensee did not comply with the section cited above in that the facility's rent was not paid on time per the lease agreement for three (3) months which poses a potential health, safety or personal rights risk to persons in care.

  • 87456(a)(2)Type B

    Based on observation and record review, the licensee did not comply with the section cited above in that four (4) out of four (4) residents files (for residents R1, R2, R3 and R4) did not have an LIC 603 Preplacement Appraisal Information form which poses 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 October 30, 2025 inspection of BURBANK MANOR?

This was a complaint inspection of BURBANK MANOR on October 30, 2025. 2 citations were issued: 2 Type B.

Were any citations issued to BURBANK MANOR on October 30, 2025?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "87202 Fire Clearance (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county..."

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.