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Inspection visit

Follow-up on corrections

GREEN GABLES CARE HOME IIILicense 1072015561 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Katie Brown arrived at the facility unannounced to conduct a Case Management - Deficiencies visit in conjunction with a complaint visit. LPA met with and explained the reason for the visit with facility Designee Mario Ramos. Administrator was unable to come to the facility at the time of the visit. While conducting a record review in conjunction with a complaint investigation, LPA discovered that Staff (S1) was not cleared to work in the facility. S1 was working during a facility visit on 1/16/2024. On 1/16/24 LPA Brown contacted and informed the Administrator that S1 was to be immediately removed from the facility. AD visited the Regional Office that same day and was informed that S1 could not be Associated to the facility based on not-eligible status. A deficiency for Criminal Background Clearance is being cited on the attached 809-D. Civil penalty is assessed on the attached LIC421BG. An exit interview was conducted and Plan of Correction was developed. A copy of these reports and Appeal Rights were discussed and left with Mario Ramos, whose signature on this form confirms receipt of these documents.

Citations

3 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.

  • 87464(f)(1)(c)Type A

    87464 Basic Services (f) Basic services shall at a minimum include: (1) Care and supervision as defined… in (c) "Care and supervision" means the facility assumes responsibility for, or provides or promises to provide in the future, ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered… Requirement not met as evidenced by: Licensee did not provide basic services such as care and supervision resulting in R1 exiting the facility without staff knowing. R1 passed away in the hospital. This poses an immediate health, safety or personal rights violation to persons in care.

  • 87466Type B

    Regular observation and documentation of resident changes

    87466 Observation of the Resident The licensee shall ensure that residents are regularly observed... Licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. Requirement not met as evidenced by: Licensee did not ensure that R1's Responsible Party was notified that R1 was taken via ambulance to the hospital after being found by staff to have exited the home and experiencing a fall outside. This poses a potential health, safety or personal rights violation to persons in care.

  • Submit and maintain current mailing address

    87355(e) (1) Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (1)Obtain a California clearance or a criminal record exemption as required by the Department... This requirement was not met as evidenced by: Licensee did not ensure S1 had a Criminal Record Clearance. S1 was working on 1/16/24 at the facility. This poses an immediate health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the March 19, 2024 inspection of GREEN GABLES CARE HOME III?

This was an other inspection of GREEN GABLES CARE HOME III on March 19, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to GREEN GABLES CARE HOME III on March 19, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87464 Basic Services (f) Basic services shall at a minimum include: (1) Care and supervision as defined… in (c) "Care ..."

What type of inspection was this?

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

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