Senior Care Records.

Facility Evaluation Report

Mori Manor, San Leandro04/19/2022Licence 019201054

Capacity14
Census9
Date signed04/19/2022 02:40:27 PM
The inspector’s account

On 4/19/22 approximately 1:50pm, Licensing Program Analysts (LPAs) C. Lin and K. Nguyen arrived unannounced to conduct a proof of correction (POC) visit for the deficiencies cited on 4/14/2022. LPAs met with Administrator, Ferdinand Gutierrez and explained the purpose of the visit.

Administrator admitted that he has not submitted POC for 87705(f)(2). A civil penalty has been assessed from 4/14/2022 to 4/19/2022 at $100 x 6 = $600.

LPAs printed out regulations 87705 for Administrator to review and submit correct documents. Plan and proof of correction was discussed with Administrator.

Civil Penalties will continue to be assessed daily until corrected.

No deficiencies are being cited on this date.

Exit interview conducted and a copy of this report provided.

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