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Inspection visit

Follow-up

MERRILL GARDENS AT BRENTWOODLicense 0792011653 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

On 6/10/2022 at 5:00 pm, Licensing Program Analyst (LPA) L Ibo arrived unannounced to conduct a case management visit. LPA was conducting interview and records review due to another visit. LPA found about elopement incident. Based on records review, on 5/26/2022 R1 eloped from memory care department and was found at the parking lot by one of resident’s family member and redirect him back to the facility. CCLD office did not receive incident report and Administrator can’t provide proof of incident report submitted to CCLD office. S2 is not associated at the facility, based on interview S2 started working on April 2022, this citation was corrected today, Business office Manager associated S2 on the facility. The above deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations. Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted, Appeal Rights and a copy of this report 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 other inspection of MERRILL GARDENS AT BRENTWOOD on June 10, 2022. 3 citations were issued: 3 Type B.

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

Yes, 3 citations were issued (0 Type A, 3 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 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.