Senior Care Records.

Facility Evaluation Report

Monteverde Manor II, San Bruno04/09/2025Licence 415600660

Capacity6
Census5
Date signed04/10/2025 09:13:02 AM
Name of licensing program analystMurial Han
Name of licensing program managerApril Cowan
The inspector’s account

On April 9, 2025, Licensing Program Analyst (LPA) Murial Han conducted an unannounced continuation visit for an annual inspection that was conducted April 1, 2025. LPA met with caregiver, Ilfonso Maning and explained the purpose of today's visit. The administrator arrived and assisted with the inspection.

LPA reviewed 3 staff files, reviewed documents and conducted facility tour that was provided by the caregiver.

Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties.

This report is reviewed and discussed with administrator. A copy of this report and the appeal rights were provided.

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