Facility Evaluation Report

Respit Manor, Lake Forest01/28/2026Licence 306005865

Capacity6
Census5
Date signed01/28/2026 12:09:13 PM
Name of licensing program analystEboni Bentley
Name of licensing program managerLourdes Montoya
The inspector’s account

On January 28, 2026, Licensing Program Analyst (LPA) Eboni Bentley conducted a case management deficiency visit unrelated to allegations for complaint #22-AS-20260122102955.

A record review revealed, S1 is not associated with the facility. Licensee Mark Mendez stated, S1 began working at the facility as a caregiver on December 2, 2025 and is currently providing care to residents, six days per week. During today's visit, LPA observed S1 working at the facility and providing care to residents.

A deficiency was cited by Title 22 Division 8 Chapter 6. CIVIL PENALTY ASSESSED.

An exit interview was conducted, and a copy of this report, LIC809-D, LIC421BG, and appeal rights were provided to Licensee Mark Mendez.

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