PVE MANOR

3916 PALOS VERDES DRIVE NORTH, Palos Verdes Estates CA 90274

Facility 198602226 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Oct 4, 2025Licensed

Additional info
Licensee
PVE MANOR INC
Administrator
JEHN MARIC DEMAFELIX
Contact
JEHN MARIC DEMAFELIX
License first date
Sep 8, 2017
License effective date
Sep 8, 2017
District office
EL SEGUNDO ASC · (424) 544-1075
Regional office
11
Clients served
983 - RCFE / DEMENTIA

Summary

The available records show 1 Type A and 3 Type B deficiencies for this facility.

Most recent inspection
Oct 4, 2025
Most recent deficiency
Oct 4, 2025

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 4 reports for this facility: 4 inspections, 0 complaint investigations, and 0 licensing or administrative records.

Those records contain 1 Type A and 3 Type B deficiencies.

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

Official inspections
4

About the same as most this size

1 in the last 12 months

Recorded deficiencies
4

More than the typical 1

3 in the last 12 months

Type A deficiencies
1

Most this size have none

1 in the last 12 months

Type B deficiencies
3

Most this size have none

2 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
1

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
Facility condition and maintenanceType A
Official classification
Type A
Official code
87303(a)
Regulation authority
CCR

What the official deficiency says

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. LPA identified smoke detector for Resident #3 room non operable. This violaton which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/06/2025 Plan of Correction Licensee w/ill ensure that facility is in good repair at all times. Licensee will ensure to repair or replace smoke detector in Resident #3's room with an operable smoke detector. POC is due 10/06/25 to ernand.dabuet@dss.ca.gov Note: Corrected during visit on 10/04/25 at 12:03PM

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87458(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 observation and record review, the licensee did not comply with the section cited above. LPA identified on TB results for Resident #3 on file. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/20/2025 Plan of Correction Licensee will ensure prior to resident's admittance, all must TB test completed. Licensee will ensure obtain TB test for Resident #3 by POC 10/18/25 and submit proof to ernand.dabuet@dss.ca.gov

Plan of correction recorded
Correction not verified in available records
View official report
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
87411(c)(1)
Regulation authority
CCR

What the official deficiency says

87411 Personnel Requirements - General - All RCFE staff...shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 (1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. 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. LPA identified staff #1 through staff #6 all did not a valid or current CPR/First Aid on file. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/20/2025 Plan of Correction Licensee is to obtain current first aid certificates for all staff # 1 through #6 and will create a plan to ensure that ensure that caregiver staff who assist residents with personal activities of daily living receive annual first aid training. Proof of correction will be submitted to CCL via email at ernand.dabuet@dss.ca.gov.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87463(c)
Regulation authority
CCR

What the official deficiency says

(c) The licensee shall arrange a meeting with the resident, the resident's representative, if any, appropriate facility staff, and a representative of the resident's home health agency, if any, when there is significant change in the resident's condition, or once every 12 months, whichever occurs first, as specified in Section 87467, Resident Participation in Decision Making. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and records review, the licensee did not comply with the section cited above. Three residents (R1, R2 & R6) out of six residents do not have current appraisals. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/06/2023 Plan of Correction The administrator shall ensure R1, R2 & R6's are conducted timely and shall arrange a meeting with the resident, the resident's representative, home health/hospice representative if applicable. Administrator shall submit copies of the current appraisals for R1, R2 & R6 to CCLD via email to lourdes.montoya@dss.ca.gov.

Plan of correction recorded
Correction not verified in available records
View official 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