Skip to main content
ReadyRule homepageReadyRule

Inspection visit

Follow-up on corrections

MADONNA GARDENSLicense 2752025691 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Sarah Hurt arrived to the facility unannounced to conduct a Case Management visit, and met with facility Administrator Tyler Barnes. LPA Hurt observed during facility tour all outer doors to Resident bedrooms in Memory Care area of the facility to be locked. Administrator Tyler stated the outer doors are locked so residents can not easily access each others rooms. The facility staff has keys to Resident bedrooms on them and can access doors. The following deficiency is being cited today Per Title 22 Regulations, Division 6, Chapter 8. Exit interview conducted with Administrator Tyler Barnes and a copy of this report 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.

  • 87705(c)(1)Type A

    (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following:(1) The facility has a nonambulatory fire clearance for each room that will be used to accommodate a resident with dementia who is unable to or unlikely to respond either physically or mentally to oral instructions relating to fire or other dangers and to independently take appropriate actions during emergencies or drills. The following requirement has not been met as evidenced by: LPA Hurt observed all Memory Care facility doors to be locked preventing emergency personnel services from easily entering rooms which poses an immediate health, safety, or personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 5, 2023 inspection of MADONNA GARDENS?

This was a other inspection of MADONNA GARDENS on May 5, 2023. 1 citation were issued: 1 Type A (serious).

Were any citations issued to MADONNA GARDENS on May 5, 2023?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following:(1) The faci..."

What type of inspection was this?

This was a 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.