Senior Care Records.

Facility Evaluation Report

Mondell Pine Manor I, Palmdale06/02/2022Licence 197610251

Capacity6
Census0
Date signed06/02/2022 03:11:50 PM
The inspector’s account

LPA Spaeth conducted a pre-licensing visit to the facility and was greeted by the Administrator Candice Solis and four staff members at 9:10 am. LPA observed all parties were wearing masks. LPA's temperature was taken and recorded at the sign-in station at the front door. LPA was instructed to complete the sign in sheet and answer the required COVID symptoms questions.

LPA conducted the Comp III session from 9:15 am until 10:20 am. The tour of the facility took place from 10:30 am until 11:00 am. LPA observed the living room-kitchen combination. The living room contained comfortable seating along with a television. LPA observed a three-day supply of perishable fruits and vegetables in the refrigerator and an adequate supply of frozen meats and vegetables in the freezer section. The cleaning supplies were locked underneath the sink and the knives were locked in a kitchen cabinet.

The pantry contained a seven day supply of non-perishable items such as canned goods, rice, and pasta. Also the emergency food and water supplies were located in the pantry. LPA also observed the menu posted within the facility. At 10:51 am, LPA observed the water temperature in the kitchen was 117.4 degrees F. LPA also observed the menu was posted in the facility.

LPA was escorted through a locked door to the stairway that leads to the staff room on the second floor and the locked garage. LPA observed two rooms on the second floor and a staff bathroom. Administrator confirmed there will not be any live in staff. Also, LPA observed the garage which contained some stored items.

LPA then observed the backyard which is neat and clean. Administrator stated lawn furniture will be arriving to the facility this month. LPA requested an email notification along with a snapshot of the furniture upon arrival to the facility. The side gate was unlocked that leads to the front yard.

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