Senior Care Records.

Facility Evaluation Report

Mondell Pine Manor II, Palmdale05/09/2025Licence 197610326

Capacity6
Census4
Date signed05/09/2025 03:52:43 PM
Name of licensing program analystMelissa Spaeth
Name of licensing program managerTroy Agard
The inspector’s account

Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced case management visit and was greeted by the facility manager. LPA Spaeth stated the purpose of the visit was to conduct a case management visit.

LPA toured the facility and observed a staff member had not been fingerprint cleared. The facility manager confirmed the staff member had been working at the facility for the past two days.

The LPA Spaeth spoke to the Licensee, Jerome Viray at 12:45 pm. LPA Spaeth stated to the Administrator the staff member must immediately leave the facility. LPA observed the staff member left the facility at 12:50 pm.

Based upon LPA's observations, the following deficiency was issued (see 809-D).

Exit interview conducted, appeal rights discussed, and a copy of the report was given.

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