ELITE MANOR

1318 PASEO VALLE VISTA, San Dimas CA 91724

Facility 197606565 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Apr 3, 2026Licensed

Additional info
Licensee
ELITE MANOR, INC.
Administrator
GLADYS PERVEZ
Contact
GLADYS PERVEZ
License first date
Apr 24, 2006
License effective date
Apr 24, 2006
District office
MONTEREY PARK ASC · (323) 980-4934
Regional office
28
Clients served
935 - ELDERLY

Summary

The available records show 1 Type A and 2 Type B deficiencies for this facility.

Most recent inspection
Apr 3, 2026
Most recent deficiency
Mar 27, 2025

1 later report, on Apr 3, 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 6 reports for this facility: 5 inspections, 1 complaint investigation, and 0 licensing or administrative records.

Those records contain 1 Type A and 2 Type B deficiencies.

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

Official inspections
5

More than the typical 4

1 in the last 12 months

Recorded deficiencies
3

More than the typical 1

0 in the last 12 months

Type A deficiencies
1

Most this size have none

0 in the last 12 months

Type B deficiencies
2

Most this size have none

0 in the last 12 months

Substantiated complaints
1

Most this size have none

0 in the last 12 months

Repeated topics
0

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.

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.

Inspection
Medication handling and storageType A
Official classification
Type A
Official code
87465(c)(2)
Regulation authority
CCR

What the official deficiency says

(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions. 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 in two (2) out of five (5) resident medication were not given to residents in care and did not follow physician's direction which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/28/2025 Plan of Correction Licensee stated training will be provided to all staff regarding handling resident medication. A statement of medication training plan for staff will be provided to CCLD by 3/28/2025 which will indicate the subject, date, and time that training will take place. Once training is provided, a statement of training signed by all staff will be provided to CCLD.

Plan of correction recorded
Correction not verified in available records
View official report
Medication handling and storageType B
Official classification
Type B
Official code
87465(c)(3)
Regulation authority
CCR

What the official deficiency says

(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (3) A record of each dose is maintained in the resident's record. The record shall include the date and time the PRN medication was taken, the dosage taken, and the resident's response. 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 in two (2) out of five (5) resident medication which were not properly logged in the medication record log which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/27/2025 Plan of Correction Licensee stated training will be provided to all staff regarding documentation of resident medication. The training report shall indicate the subject, date, and time for the staff training. In addition, a statement of training signed by all staff will be provided to CCLD on 4/27/2025.

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

Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited

Resident rightsType B
Official classification
Type B
Official code
87468.1(a)(11)
Regulation authority
CCR

What the official deficiency says

Personal rights of Residents in all Facilities. Residents in all residential care facilities for the elderly shall have all of the following personal rights: To have their visitors… permitted to visit privately during reasonable hours and without prior notice, provided that the rights of other residents are not infringed upon. This requirement was not mwet as evidence by: Based on observation, interviews conducted and file review it was revealed by the Administrator, S1 and S2 that the facility have denied FM visitation with R1 due to the request of POA, which poses an potential health, safety, or personal rights risk to persons in care.

Official plan of correction

Administrator will conduct inservice training with all staff on the topic of Residents Personal Rights. Administrator will submit to Licensing the sign-in sheet with name of topic, staff signatures, the date the training was conducted, and the amount of time for the training. The sign in sheet will be submitted by the POC due date

Deadline recorded: May 19, 2022. A deadline is not proof that correction was completed.

Corrective action reported
Plan of correction recorded
Correction deadline recordedDeadline May 19, 2022
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