Skip to main content
ReadyRule homepageReadyRule

Inspection visit

Complaint

MELROSE GARDENSLicense 1976103671 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Allegation: Facility staff are not properly safeguarding medications - The Reporting Party (RP) alleges that a staff member left their child in the medications room unattended during their scheduled work shift. LPA conducted an interview with the Administrator, which revealed the following: Per the Administrator, he allowed the staff member (S1) in question to let their child sit in the medications room. "It was a Sunday, and S1 did not have anyone to watch over the child that day. He [the child] was sitting in S1's vehicle and it was a very hot day, so I allowed S1 to bring her child in the medications room." Per the Administrator, "All medications are securely locked in medication carts and overhead cabinets, so there was no way for unauthorized persons to access any medications." LPA conducted an observation of the medications room which revealed the following: Door to medications room was locked and inaccessible to residents. Inside the room, all medications were witnessed as securely locked in medication carts and overhead cabinets. However, the Administrator admits that non-authorized persons were allowed access in the medications room. Based on the information LPA obtained through observation, interviews with the Administrator, staff, residents, the allegation that facility's medications were not properly safeguarded is Substantiated. Deficiency is cited on the LIC 9099-D page. Exit interview conducted. Appeal rights discussed. Copy of report provided.

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.

  • 87465(h)(2)Type A

    Store centrally held medications in locked secure place

    87465(h)(2) Incidental Medical and Dental Care- 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 LPA interviews with the Administrator and Staff, the licensee failed to ensure that the facility's medication room was inaccessible to persons other than athorized personnel which posed an immediate health risk to residents in care

  • 87211(a)(1)Type B

    Report specified resident events within seven days

    87211(a)(1) Reporting Requirements- A written report shall be submitted to the licensing agency...and person responsible for the resident within seven days of the occurrence of any of the events specified...This requirement is not met as evidenced by: Based on LPA records review and interviews with Administrator and Staff, Licensee failed to submit an Incident Report to licensing agency within seven days of the incident's occurance, which poses a potential health risk to residents in care.

  • 87211(c)Type B

    Report suspected non-serious physical abuse within 24 hours

    87211(c) Reporting Requirements-Any suspected physical abuse that does not result in serious bodily injury...shall be reported to local ombudsman...and local law enforcement agency within twenty-four (24) hours...This requirment was not met as evidenced by: Based on LPA records review and interviews with Administrator and Staff, Licensee failed to report to ombudsman and local authorities as required, which poses a potential health risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 23, 2025 inspection of MELROSE GARDENS?

This was a complaint inspection of MELROSE GARDENS on May 23, 2025. 1 citation were issued: 1 Type A (serious).

Were any citations issued to MELROSE GARDENS on May 23, 2025?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87465(h)(2) Incidental Medical and Dental Care- Centrally stored medicines shall be kept in a safe and locked place that..."

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

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

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