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Inspection visit

Follow-up

MERISOL CARE HOMELicense 0792007501 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On this day, LPA Luisa Fontanilla conducted a case management visit related to complaint #15-AS-20231218143948 and met with Soledad Bacani, Administrator. LPA explained to Bacani the purpose of the visit. During the course of investigation, staff interviewed were aware about R1’s confusion and exit-seeking behavior. Staff interviewed state R1 would walk around the facility looking for exits saying, “I want to go home.” Staff were also aware about R1’s elopement incident from a Memory Care unit in another facility prior to placement to this facility. Despite awareness and observing R1’s wandering behavior, R1 was able to leave the facility without staff knowledge on 12/7/2023. R1 was found deceased by the railroad tracks. Deficiency is cited per Title 22 California Code of Regulations (refer to Lic 809D). A copy of this report was provided to the Administrator and Appeal Rights was provided.

Citations

2 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87705(b)(2)Type A

    87705(b)(2) Care of Persons with Dementia(b) In addition to the requirements as specified in Section 87208, Plan of Operation, the plan of operation shall address the needs of residents with dementia, including:(2) Safety measures to address behaviors such as wandering, aggressive behavior and ingestion of toxic materials. This requirement is not met as evidenced by:Based on interviews and record reviews conducted, R1 who has Alzheimer’s/Dementia, confused, disoriented and has sundowning behavior exited the facility without staff knowledge, got struck by a train and died on 12/7/2023.

  • 87466Type A

    87466 Observation of the ResidentThe licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such...This requirement is not met as evidenced by: The facility did not provide appropriate assistance to R1 to ensure safety despite observing R1’s wandering behavior. R1 was able to leave the facility without staff knowledge and was found deceased by the railroad tracks.

FAQ · About this visit

Common questions about this visit

What happened during the August 9, 2024 inspection of MERISOL CARE HOME?

This was a other inspection of MERISOL CARE HOME on August 9, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to MERISOL CARE HOME on August 9, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87705(b)(2) Care of Persons with Dementia(b) In addition to the requirements as specified in Section 87208, Plan of Oper..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.