Facility Evaluation Report

Mori Manor, San Leandro07/27/2023Licence 019201054

Capacity14
Census12
Date signed07/27/2023 06:56:07 PM
The inspector’s account

Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct proof of correction (POC) visit, and met with Ferdinand Gutierrez, administrator. LPA informed the purpose of visit.

On 7/06/23, LPAs Delmundo and Fontanilla initiated an annual required inspection and issued citation for deficiency section 87309(a) with POC to be submitted by 7/07/23. Administrator submitted the POC only 7/11/23. A $400.00 civil penalty is assessed on this day, 7/27/23, for $100.00/day from 7/08/223 to 7/11/23.

On 7/18/23, LPA Delmundo issued citation for deficiency section 87355(e)(1) for staff who was not fingerprinted with POC to be submitted by 7/19/23. Administrator submitted the POC only on this day, July 27, 2023. A $800.00 civil penalty is assessed for $100.00/day from 7/20/23 to 7/27/23.

Deficiency section 1569.153(a) was cited for Theft and Loss Policy not posted with POC to be submitted by 8/01/23. On this day, LPA observed the Policy is posted.

Exit interview conducted. Appeal Right, LIC421FCs Civil Penalties and copy of this report provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction