Merrill Gardens at Brentwood

Personnel Requirements - GeneralFacility personnel shall at all times be sufficient in numbers...to provide the services necessary...In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care...This requirement is not met as evidenced by: Based on investigation, the licensee did not comply with the section cited above by not responding to call button in a timely manner which poses a potential health and safety risk to the residents in care.

(h) The following requirements shall apply to medications which are centrally stored:2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication This requirement is not met as evidenced by:Based on interviews conducted, The licensee did not comply with the section cited above in not having medication inaccessible to resident which poses an immediate health, safety or personal rights risk to persons in care.

1569.269(a)(6) Enumerated rights; severability (a) Residents of residential care facilities for the elderly shall have all of the following rights: (6) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs This requirement is not met as evidenced by: Based on interviews conducted, The LIcensee did not comply with the section cited above in having sufficent staff to provide care for the residents which poses a potential risk to the health and safety of the residents under care.

a licensee of a residential care facility for the elderly who sends a notice of eviction ... in the notice to quit the reasons relied upon for the eviction, with specific facts to permit determination of the date, place, witnesses, and circumstances concerning those reasonsThis requirement is not met as evidence by: The facility staff telling the resident that they are getting evicted before the notice was given to the resident

Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately….: (8) To be free from neglect…This requirement is not met as evidence by: Based on interview and records review, licensee did not comply with the section cited above which was the staff failed to check resident (R1) on timely manner which poses a potential health and safety risk to the residents in care.

Incidental Medical and Dental Care(h) The following requirements shall apply to medications which are centrally stored:(2) Centrally stored medicines shall be kept in a safe and locked....This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above; resident's (R1) medication was unlocked and was observed at the bathroom sink countertop, which poses an immediate health and safety risks to persons in care.

Responsibility for Providing Care and Supervision: The licensee shall provide care and supervision as necessary to meet the client's needs.-This requirement is not met as evidenced by: Based on records review and interview, the licensee did not comply with the section cited above, R1 who live at the memory care department was found at the facility’s parking lot by a resident’s family member, this posed potential health and safety risk to resident in care.

Incidental Medical and Dental Care Services. Once ordered by the physician, nonprescription PRN medications shall be given in accordance with the physician’s directions.This requirement is not met as evidenced by: Based on investigation, licensee did not comply with the section cited above , S3 gave wrong dosage of medication and not following doctor's orders which poses a potential health and safety risk to the residents in care.

(c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69(3) The training shall include, but not be limited to, the following:(D) Policies and procedures regarding medications, including the knowledge in Section 87411(d)(4). Any on-the-job training provided for the requirements in Section 87411(d)(4) may also count towards the requirement in this subsection.This requirement was not met as evidenced by: Based on observation, interview and record review, licensee did not comply with the section cited above. LPAs observed no training has been provided to staff after incident occurred which poses an immediate health, safety risk to persons in care.

Criminal Record Clearance. Prior to working, residing or volunteering in a licensed facility, all individuals subject to a criminal record review shall request a transfer of a criminal record clearance from another facility or Trustline. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above, S2 was not associated to the facility before starting to work which poses a potential health and safety risk to the residents in care.

Reporting Requirements. A written report shall be submitted to the licensing agency...within seven days of the occurrence of any of the events specified... This requirement was not met as evidence by: Based on investigation, licensee did not comply with the section cited above by not submitting incident report to CCLD which poses a potential health and safety risk to the residents in care.