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Facility Evaluation Report

Respit Manor Mission Viejo, Mission Viejo06/12/2024Licence 306005782

Capacity6
Census3
Date signed06/12/2024 01:04:10 PM
The inspector’s account

Licensing Program Analyst (LPA) Jessica Cho continued the visit after delivering the findings in connection to Complaint Control Number: 22-AS-20240606140114. LPA stated the purpose of the visit to Administrator Mark Mendez. LPA observed Staff #1 (S1) was not associated per the Licensing Information System (LIS) and the Guardian Employee Roster dated June 12, 2024 as required per the Criminal Record Clearance of the Title 22 Regulations. S1 stated that they were employed approximately June or July 2022.

A deficiency is being cited as per the Title 22, Division 6, Chapter 8 of the California Code of Regulations. See the attached LIC809-D. An immediate civil penalty is being assessed. See the attached LIC421BG.

An exit interview was conducted with Administrator Mark Mendez, and a copy of this report including the LIC809D, LIC421BG, LIC811, and the appeal rights were provided at the end of the visit.

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