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Inspection visit

complaint

MERRILL GARDENS AT BRENTWOODLicense 0792011652 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Allegation: Facility does not have enough staff to meet resident's needs. During the course of interview, Administrator stated that there were staff that walked out from their job, but facility immediately contacted staffing agency and called corporate department to help out with staffing. LPA observed staffing agency and corporate staff during the visit. Based on interviews conducted and records reviewed, the preponderance of evidence standard has not been met, therefore the allegation is found to be UNSUBSTANTIATED, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove it did or did not occur. Exit interview conducted and a copy of this report provided. Allegation: Untrained staff During the course of interview, Administrator admitted that S4 is assisting residents on medications without proper training from the facility, based on records review there is no proof of medication training for S4. Based on the Department’s investigation, the preponderance of evidence standard has been met, therefore the allegation is found to be substantiated. Facility is being cited per California Code of Regulations, Title 22. Deficiency and plan and proof of correction were discussed with Lydia Hertzler, Administrator. Exit interview conducted A copy of this report and Appeal Rights provided.

Citations

5 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.

  • 80078(a)Type B

    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.

  • 87211(a)(1)Type B

    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.

  • 87355(e)(2)Type B

    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.

  • 87411(c)(3)(D)Type B

    (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.

  • 87465(c)(2)Type B

    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.

FAQ · About this visit

Common questions about this visit

What happened during the June 10, 2022 inspection of MERRILL GARDENS AT BRENTWOOD?

This was a complaint inspection of MERRILL GARDENS AT BRENTWOOD on June 10, 2022. 2 citations were issued: 2 Type B.

Were any citations issued to MERRILL GARDENS AT BRENTWOOD on June 10, 2022?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "Responsibility for Providing Care and Supervision: The licensee shall provide care and supervision as necessary to meet ..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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.