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Inspection visit

Routine inspection

GREEN GABLES CARE HOME VLicense 1072028585 citations on this visit
5 citations recorded

Inspector’s narrative

What the inspector wrote

On 05/24/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and requested to meet with staff Teresita Delatorre, Mario “Danny” Ramos, Assistant arrived shortly. All seven residents were present during the inspection. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. All residents’ and staffs’ files reviewed. Fire extinguisher observed with purchased date 10/12/23. Medications were checked and observed kept locked in kitchen cabinet. Resident’s MARS was reviewed. Small live roaches were observed on the kitchen counter and on the toilet in bathroom 1. Assistant stated pest control have been schedule to come out on 05/24/24 at 2:00PM. Records of the pest control service will be submitted to LPA. An adequate supply of perishable and non-perishable food was observed. All residents’ bedrooms were toured. LPA observed single occupant in bedroom 1, single occupant in bedroom 2, single occupant in bedroom 3, single occupant in bedroom 4, and 3 resident’s bed in shared bedroom 5. LPA observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are observed with securely fastened grab bars. Hot water temperature was tested range 115.3 and 116.2 degrees F. in bathroom and range 114 and 113.8 degrees F in shared bedroom bathroom. Toilet was observed functioning and operational. Cleaning chemicals observed locked in the laundry room. Outside of facility toured and observed free of debris with adequate outdoor seatings. Side gate was observed self-closing and self-latching. Carbon monoxide and smoke detectors were tested and observed to be operational. A deficiency and an immediate Civil Penalty of $500 was assessed. See Lic 421IM is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 05/30/24. The following updated forms were requested: Lic 308, Lic 500, Lic 610E, current Administrator Certificate, and current liability insurance. A copy of this report and appeal rights was provided to Assistant, whose signature on this form confirms receipt of this report.

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.

  • 1796.45Type B

    LPA reviewed S1 did not have a TB result on file which poses a potential risk to the health and safety of the residents.

  • 87204(a)Type A

    Limit operations to licensed capacity

    Based on observation, interviews conducted, and records reviewed, the facility is a capacity of 6 and 7 residents was observed reside at the facility which poses an immediate health, safety or personal rights risk to persons in care.

  • 87458(b)(1)Type B

    Based on records reviewed, 5 out of 7 residents do not have TB result on file which poses a potential health, safety or personal rights risk to persons in care.

  • Give PRN medication by physician order

    Based on interviews, records review, and observation, MARs were reviewed, and medications were audit and shown that staff did not administer medications for R1 and R2 as directed by physician, which poses an immediate health and safety risk for the person in care.Licensee shall have staff be retrained on administering medications. Licensee will submit documentation of training topics which include process of administering medications with staff attendance rooster to the Fresno CCL office by 06/06/24.

  • Document each PRN medication dose taken

    Based on interviews and records reviewed, R1’s medication Quetiapine Fumarate 50 mg had been administered by staff and not documented in the resident’s MARs. R2’s medication Pantopraxole Sod Dr 40 mg had been administered by staff and not documented in the resident’s MARs, which poses a potential health and safety risk for the person in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 24, 2024 inspection of GREEN GABLES CARE HOME V?

This was an inspection of GREEN GABLES CARE HOME V on May 24, 2024. 5 citations were issued: 2 Type A (serious) and 3 Type B.

Were any citations issued to GREEN GABLES CARE HOME V on May 24, 2024?

Yes, 5 citations were issued (2 Type A, 3 Type B). The first citation was for: "LPA reviewed S1 did not have a TB result on file which poses a potential risk to the health and safety of the residents."

What type of inspection was this?

This was an inspection. 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.