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Inspection visit

complaint

MADONNA GARDENSLicense 2752025692 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Allegation: Staff gave resident wrong medication. Based on records reviewed LPA was able to establish that R1 was given the wrong medication on 9/17/2021. The facility notified the Primary Care Physician and the family of R1. R1 was monitored throughout the day for any adverse reactions. The facility noted that there were no adverse reactions. The facility provided the department with an incident report dated 10/1/2021 which detailed the incident. The preponderance of evidence standard has been met, therefore the above allegations are found to be substantiated. The following deficiencies were observed (see LIC 9099-D) and cited from the California Code of Regulations, Title 22. Appeal rights and report given at the conclusion of the investigation.

Citations

2 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.

  • 87411(d)(4)Type A

    87411 Personnel Requirements(d) All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance: (4) Knowledge required to safely assist with prescribed medications which are self administered. This requirement was not met as evidenced by records reviewed Medtech 1 was not properly trained prior to administering medication. This is an immediate heath and safety risk to residents in care.

  • 87465(a)(5)Type A

    Incidental Medical and Dental Care A plan for incidental medical and dental care shall be developed...The licensee shall assist residents with self administered medications as needed. This regulation was not met as evidence by: The licensee did not provide R1 with required refrigerated medication timely. Based on records reviewed, R1 was given four medication which were the wrong medication on 9/17/2021. This poses an immediate risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 23, 2022 inspection of MADONNA GARDENS?

This was a complaint inspection of MADONNA GARDENS on April 23, 2022. 2 citations were issued: 2 Type A (serious).

Were any citations issued to MADONNA GARDENS on April 23, 2022?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "87411 Personnel Requirements(d) All personnel shall be given on the job training or have related experience in the job a..."

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.