Admission, assessment, and eviction
Cited in 2 reports, with 2 deficiencies in total.
MONDELL PINE MANOR II
39040 Mondell Pine AVE, Palmdale CA 935516042
6 bedsLatest official report Feb 28, 2026Licensed
Additional info
- Telephone
- (661) 480-5023
- Licensee
- MONDELL PINE MANOR II
- Administrator
- RICHARD GARCIA
- Contact
- RICHARD GARCIA
- License first date
- Feb 7, 2023
- License effective date
- Feb 7, 2023
- District office
- WOODLAND HILLS S.RO · (818) 596-4334
- Regional office
- 31
- Clients served
- 983 - RCFE / DEMENTIA, 985 - RCFE / HOSPICE
Summary
The available records show 5 Type A deficiencies for this facility.
- Most recent inspection
- Feb 28, 2026
- Most recent deficiency
- May 9, 2025
2 later reports, from Jun 26, 2025 through Feb 28, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.
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 7 reports for this facility: 5 inspections, 0 complaint investigations, and 2 licensing or administrative records.
Those records contain 5 Type A and 0 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 5
- Recorded deficiencies
- 5
- Type A deficiencies
- 5
- Type B deficiencies
- 0
- Substantiated complaints
- 0
- Repeated topics
- 1
More than the typical 4
1 in the last 12 months
More than the typical 1
0 in the last 12 months
Most this size have none
0 in the last 12 months
Most this size also have none
0 in the last 12 months
Most this size also have none
0 in the last 12 months
Last 36 months
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.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this 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
Inspection
Admission, assessment, and evictionType A
- Official classification
- Type A
- Official code
- 87458(c)(1)(A)
- Regulation authority
- CCR
What the official deficiency says
(c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for all of the following: (A) Communicable tuberculosis. 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. The Administrator failed to obtain the communicable tuberculosis test results for R1 which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/10/2025 Plan of Correction The Administrator will send the TB test results to LPA Spaeth via email.
Plan of correction recorded
Correction not verified in available records
Inspection
Hazardous items and storageType A
- Official classification
- Type A
- Official code
- 87309(a)
- Regulation authority
- CCR
What the official deficiency says
(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. 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 in one instance when al cleaning solution was not locked in a bathroom cabinet which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/23/2024 Plan of Correction During LPA's visit, LPA observed the Administrator safely locked the cleaning solution in the locked kitchen cabinet underneath the kitchen sink.
Corrective action observedRecorded in report dated Feb 23, 2024
Plan of correction recorded
Admission, assessment, and evictionType A
- Official classification
- Type A
- Official code
- 87458(a)
- Regulation authority
- CCR
What the official deficiency says
(a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's resident record review, LPA observed the Physician's Report was missing from R1 and R5's file. The licensee did not comply with the section cited above in two out of five residents' files which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/04/2024 Plan of Correction The Administrator will send a copy of R1 and R5's physician's report to LPA Spaeth via email
Plan of correction recorded
Correction not verified in available records
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(f)(1)
- Regulation authority
- CCR
What the official deficiency says
(f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observations, the licensee did not comply with the section cited above. LPA observed the kitchen cabinet lock was not working where medications are stored. This poses poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/26/2024 Plan of Correction The Administrator will send a snapshot of the newly installed lock to the medication cabinet to LPA Spaeth via email.
Plan of correction recorded
Correction not verified in available records
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