MONDELL PINE MANOR I

39046 Mondell Pine AVE, Palmdale CA 935516042

Facility 197610251 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Mar 5, 2026Licensed

Additional info
Licensee
MONDELL PINE MANOR 1
Administrator
SOLIS, CANDICE
Contact
SOLIS, CANDICE
License first date
Jun 15, 2022
License effective date
Jun 15, 2022
District office
WOODLAND HILLS S.RO · (818) 596-4334
Regional office
31
Clients served
935 - ELDERLY

Summary

The available records show 9 Type A deficiencies for this facility.

Most recent inspection
May 14, 2025
Most recent deficiency
Mar 5, 2026

No later report is available, so the records do not show what happened afterward.

What Type A and Type B mean
Type A
Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
Type B
Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.

Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.

At a glance

Counts cover the five-year public record. Typical figures are the median for the 1,564 Los Angeles County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 9 reports for this facility: 5 inspections, 2 complaint investigations, and 2 licensing or administrative records.

Those records contain 9 Type A and 0 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
5

More than the typical 4

0 in the last 12 months

Recorded deficiencies
9

Well above the typical 1

2 in the last 12 months

Type A deficiencies
9

Most this size have none

2 in the last 12 months

Type B deficiencies
0

Most this size also have none

0 in the last 12 months

Substantiated complaints
1

Most this size have none

1 in the last 12 months

Repeated topics
0

Last 36 months

No inspection in the last 12 months, so a zero above means no record rather than a clean visit.

Repeated topics

Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.

No topic repeats in the last 36 months

No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Complaint

Allegations2 substantiated · 1 unsubstantiated · 0 unfounded · 2 cited

Health conditions and treatmentsType A
Official classification
Type A
Official code
87615(a)(1)
Regulation authority
CCR

What the official deficiency says

87615 Prohibited Health Conditions. (a) Persons who require health services for or have a health condition including...shall not be...retained in a residential care facility for the elderly:(1) Stage 3 and 4 pressure injuries. This requirement was not met evidence by: Based on IB's investigation, due to the lack and care of facility staff, R1 developed pressure injuries which poses an immediate Health, Safety, or Personal Rights risk to persons in care.

Official plan of correction

The Administrator will review the regulation and email LPA Segovia a statement of understanding with current in-service training regarding care of residents to include body check logs for residents by POC due date.

Deadline recorded: Mar 6, 2026. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Mar 6, 2026
Correction not verified in available records
View official report
Basic services and supervisionType A
Official classification
Type A
Official code
87464(d)
Regulation authority
CCR

What the official deficiency says

87464 Basic Services. (d) A facility need not accept a particular resident for care. However, if a facility chooses to accept a particular resident for care, the facility shall be responsible for meeting the resident's needs... This requirement was not met evidence by: Based on interviews, record review and IB's investigation, facility staff failed to meet R1's needs such as diaper changes which resulted in R1's hospitalizations which poses an immediate Health, Safety, or Personal Rights risk to persons in care.

Official plan of correction

The Administrator will review the regulation and email LPA Segovia a statement of understanding with current in-service training regarding care of residents to include incontinence needs by POC due date.

Deadline recorded: Mar 6, 2026. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Mar 6, 2026
Correction not verified in available records
View official report
Inspection
Licensing and administrationType A
Official classification
Type A
Official code
1569.618(c)(3)
Regulation authority
HSC

What the official deficiency says

(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in two out of three staff members which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/16/2025 Plan of Correction The Administrator will send a snap shot to LPA's cell phone of the staff members' (S1 and S2) completion of the CPR/first aid training.

Plan of correction recorded
Correction not verified in available records
View official report
Staffing, personnel, and trainingType A
Official classification
Type A
Official code
87412(a)(11)
Regulation authority
CCR

What the official deficiency says

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (11) A health screening as specified in Section 87411, Personnel Requirements - General. This requirement is not met as evidenced by: Deficient Practice Statement Based on the review of a staff's records, the licensee did not comply with the section cited above in one out of three staff members which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/19/2025 Plan of Correction The Administrator will send a copy of the completed Health screening document for staff #1 to LPA Spaeth via email (melissa.spaeth@dss.ca.gov).

Plan of correction recorded
Correction not verified in available records
View official report
Background checksType A
Official classification
Type A
Official code
87355(e)(3)
Regulation authority
CCR

What the official deficiency says

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or This requirement is not met as evidenced by: Deficient Practice Statement Based on staff records review, the licensee did not comply with the section cited above in one out of three staff members which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/16/2025 Plan of Correction The Administrator will send a snapshot of staff #1's association to the facility to LPA's cell phone.

Plan of correction recorded
Correction not verified in available records
View official report
Not classified in the sourceType A
Official classification
Type A
Official code
88705(k)
Regulation authority
CCR

What the official deficiency says

88705 Care of persons with Dementia (k) the following initial and continuing requirements must be met...to utilized delayed egress devices on exterior doors or perimeter fence gates. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observation, the licensee did not comply with the section cited above. LPA observed the delayed egress to the back door was turned off which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/14/2025 Plan of Correction During LPA's visit, LPA observed the staff member turned on the delayed egress notification at 1:00 pm.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Not classified in the sourceType A
Official classification
Type A
Official code
87761(b)
Regulation authority
CCR

What the official deficiency says

87761 Penalties (b)…an immediate penalty of $100 …per day for a maximum of five (5) days shall be assessed if any individual required to be fingerprinted …has not obtained a California clearance or a criminal record exemption… This is evidenced by: The Licensee failed to ensure a staff member had obtained a California Clearance or a criminal record exemption. This poses an immediate health and safety risk to residents in care.

Official plan of correction

LPA Spaeth observed the staff member (S1) left the facility.

Deadline recorded: May 9, 2025. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline May 9, 2025
Correction not verified in available records
View official report
Not classified in the sourceType A
Official classification
Type A
Official code
88705(k)
Regulation authority
CCR

What the official deficiency says

88705 Care of persons with Dementia (k) The following initial & continuing requirements must be met...to utilize delayed egress devices on exterior doors or perimeter fence gates. This is evidenced by: Based on LPA's observations, the licensee did not comply with the section cited above. LPA observed the delayed egress alarm to the sliding glass door had been turned off. which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

During LPA's visit, the back door egress device was turned on during the visit

Deadline recorded: May 9, 2025. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline May 9, 2025
Correction not verified in available records
View official report
Complaint

Allegations0 substantiated · 3 unsubstantiated · 0 unfounded

No deficiencies recorded in this report
Inspection
Dementia careType A
Official classification
Type A
Official code
87705(f)(1)
Regulation authority
CCR

What the official deficiency says

87705 Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches.. This requirement is not met as evidenced by: Based on LPA's observation, the licensee failed to ensure the knives were inaccessible to dementia residents which poses an immediate health and safety risk to residents in care.

Official plan of correction

At 10: 32 am, LPA observed caregiver removed the knives from the unlocked kitchen cabinet and were moved to a locked closet.

Deadline recorded: Jun 1, 2023. A deadline is not proof that correction was completed.

Corrective action observedRecorded in report dated Jun 1, 2023
Correction deadline recordedDeadline Jun 1, 2023
View official report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report

Source and limits

California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.

Read the data methodology