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Inspection visit

Complaint

MELROSE GARDENSLicense 1976103702 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

During the investigation, LPA was able to review the medication delivery document, and MAR for Resident # 1 (R1). The CSMDR was partially complete. Upon review it was determined that R1’s medication was not refilled in a timely manner back in 01/02/2024, due to the late submission of the refill request from the facility to the pharmacy. Based on the interviews and record review, R1’s medication ran out on 01/03/2024, and the facility sent the refill request on 01/02/2024. Records review during this visit also confirmed that medication was refilled and delivered to the facility on 01/08/2024. Additionally, during the review of R1’s (MAR/CSMDR) LPA observed an additional discrepancy. On 01/08/24 R1 was relocated to a different facility, review of MAR indicated that the staff continued to initial R1’s medications as given even after R1 no longer resided at the facility. The MAR was initialed every day until 01/14/24. Wellness Coordinator and Medical Technician were unable to provide an explanation to the LPA as to how this discrepancy occurred. Based on the information and records review obtained this allegation is deemed Substantiated. Deficiency issued on LIC 9099 D. Exit interview conducted and appeal rights explained. Copy of this report signed and delivered.

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.

  • 87303(a)Type B

    Maintain facility in clean, safe, sanitary condition

    87303 Maintenance and Operation. The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees, and visitors. . This requirement is not met as evidenced by. Licensee did not ensure that facility parking lot and outside recreational area are clean and free of obstructions. This possess potential health and safety hazard to residents in care.

  • 1569.50(a)(3)Type A

    Conduct inimical- Denial, suspension, or revocation of license; grounds… (3) Conduct that is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of the State of California. This requirement is not evidenced by: Based on medication record review and interview, the facility staff were marking the MAR days in advance of actually giving the medication, which is conduct inimical. This is an immediate health and safety risk to residents in care.

  • 87465(a)Type A

    Develop required incidental medical care plan

    87465 Incidental Medical and Dental Care: (a) A plan for incidental medical care shall be developed by each facility...This requirement is not met as evidenced by Based on interviews and medical records review the facility did not refill medication on timely manner for R1. This is an immediate health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the February 29, 2024 inspection of MELROSE GARDENS?

This was a complaint inspection of MELROSE GARDENS on February 29, 2024. 2 citations were issued: 2 Type A (serious).

Were any citations issued to MELROSE GARDENS on February 29, 2024?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "87303 Maintenance and Operation. The facility shall be clean, safe, sanitary and in good repair at all times. Maintenan..."

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

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