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Inspection visit

complaint

MADONNA GARDENSLicense 2752025692 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Continued.. Regarding the allegation Staff do not report incidents to appropriate parties. Facility did not notify State Licensing or Resident 1's Responsible Parties of missed mediations on 04/07/24, 04/08/2024. Based on interviews conducted, and facility records reviewed the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. The following Deficiencies are being cited Per Title 22 Regulations. Exit interview conducted with Administrator, Tyler Barnes, and a copy of this report, along with appeals rights provided.

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.

  • 87211(a)(d)Type B

    87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case.(D)Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident.The following requirement has not been met as evidenced by: The facility did not report Resident 1's missed medications to State Licensing, or Resident 1's Responsible party, which poses a potential, health, safety, or personal rights risk to residents in care.

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  • 87465(a)(4)Type A

    87465 Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:(4) The licensee shall assist residents with self-administered medications as needed. The following requirement has not been met as evidenced by: Resident 1 was not given medication on 04/07/2024, and 4/08/2024, which poses an immediate, heatlh, safety, or personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 10, 2024 inspection of MADONNA GARDENS?

This was a complaint inspection of MADONNA GARDENS on April 10, 2024. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to MADONNA GARDENS on April 10, 2024?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports as the Department may r..."

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.