Skip to main content
ReadyRule homepageReadyRule

Inspection visit

Follow-up on corrections

MELROSE GARDENSLicense 1976103672 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 05/23/25 Licensing Program Analyst (LPA) Raymond Comer, conducted an unannounced case management visit. LPA met with the administrator and disclosed the reason for the visit. This case management visit was conducted in conjunction with complaint investigation #31-AS-20250516141919 to address deficiencies related to the complaint. During the initial complaint investigation, LPA conducted a facility records review and interviews with Administrator and Staff which revealed the following: On 5/05/25, an incident occurred in which Resident#2 (R2) committed an aggressive act upon Resident#1 (R1). Staff contacted the Primary Care Physician for both R1, and R2. Additionally, staff informed responsible family members of R1, and R2 concerning the incident. However, staff did not report to issue to the the Administrator, and as a result, the facility did not submit an incident reports or other required reports to the Licensing Division. At the time of this visit, the Administrator was informed that staff are not following reporting requirements and failed to follow Tittle 22 reporting requirements. Deficiencies are cited on the corresponding 809-D page. No immediate health or safety hazards were observed during today's visit. 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 an other inspection of MELROSE GARDENS on May 23, 2025. 2 citations were issued: 2 Type B.

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

Yes, 2 citations were issued (0 Type A, 2 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 an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

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.