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Inspection visit

complaint

MERRILL GARDENS AT WEST COVINALicense 1986033481 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Allegation: Facility failed to provide resident records : It is alleged that on Thursday, September 06, 2023, the facility received a formal records request via Federal Express to obtain a copy of resident (R1's) records. The request was made by the resident's legal representative. As of today September 18, 2023, the documents had not been provided. They were due Monday, September 11, 2023. Business Office Director confirmed the records request was received on late September 06, 2023. Business Office Director stated that documents were provided to Facility Legal Department on September 07, 2023 for review. Business Office Director stated that is the facility policy and usually they get back from them in a 24 hours. Copy of email was provided to LPA that shows email sent to Legal Department on 09/07/23 at 9:29 am. Business Office Director was not able to provide any confirmation that requested documents were sent to the resident's legal representative. Based on interviews and record review, the findings indicate that the facility did not provided the documents as of 09/18/23. Therefore, there is sufficient evidence to corroborate the allegation. Based on record review and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . Deficiency is being cited according to Title 22, Division 6 Health and Safety Code, Chapter 3.2 Residential Care Facilities for the Elderly Article 02.5 Resident's Bill of Rights. See LIC 9099D. Exit interview was conducted with Business Office Director. A copy of the report and appeal rights were provided.

Citations

1 citation 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.

  • 1569.269(a)(21)Type B

    Enumerated rights; severability.Residents of residential care facilities for the elderly shall have all of the following rights:To have prompt access to review all of their records and to purchase photocopies. Photocopied records shall be promptly provided, not to exceed two business days, at a cost not to exceed the community standard for photocopies.This requirement was not met evidenced by: Based on record review, the facility received a formal request on 09/06/ 2023 for records of R1 and failed to provide the records within 2 business days, as required per regulation; which poses a potential health and safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 18, 2023 inspection of MERRILL GARDENS AT WEST COVINA?

This was a complaint inspection of MERRILL GARDENS AT WEST COVINA on September 18, 2023. 1 citation were issued: 1 Type B.

Were any citations issued to MERRILL GARDENS AT WEST COVINA on September 18, 2023?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Enumerated rights; severability.Residents of residential care facilities for the elderly shall have all of the following..."

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.