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Inspection visit

complaint

MADONNA GARDENSLicense 2752025693 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

Continued.. Regarding the allegation Staff are not following reporting requirements. LPA Hurt reviewed Madonna Gardens facility online file, and there are no reports from the facility for 12/2023. LPA Hurt reviewed facility care notes for Resident 1 , documenting Resident 1 fell and was transported to the local hospital. This incident was not reported to State Licensing. Based on records reviewed the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Regarding the allegation Staff undressed residents in the common area in front of visitors. LPA Hurt interviewed two facility staff who both stated on 05/18/24 facility Staff 1 requested female Resident 2 to lift the back of her shirt up past her undergarments to conduct a skin check in front of other facility residents, and visitors. Facility staff did not provide skin check sheets from 05/18/24 for review. Based on LPA interviews conducted 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, and a copy of this report provided. Exit interview conducted with facility Administrator Renee Hamilton, and copy of report provided.

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.

  • 87211(a)Type B

    87211(a)Reporting Requirements. 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: Facility staff did not report Resident 1's fall and transfer to hospital, 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 provided prescribed medication for more than a month, which poses an immediate, health, safety, or personal rights risk to residents in care.

  • 87468.1(a)(1)Type B

    87468.1 Personal Rights of Residents in All Facilities(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(1) To be accorded dignity in their personal relationships with staff, residents, and other persons.The following requirement has not been met as evidenced by: Staff 1 exposed Resident 2's skin in a facility common area in front of other residents, and visitors. which poses

FAQ · About this visit

Common questions about this visit

What happened during the June 13, 2024 inspection of MADONNA GARDENS?

This was a complaint inspection of MADONNA GARDENS on June 13, 2024. 3 citations were issued: 1 Type A (serious) and 2 Type B.

Were any citations issued to MADONNA GARDENS on June 13, 2024?

Yes, 3 citations were issued (1 Type A, 2 Type B). The first citation was for: "87211(a)Reporting Requirements. Each licensee shall furnish to the licensing agency such reports as the Department may ..."

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.