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Inspection visit

complaint

MADONNA GARDENSLicense 2752025691 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Continued... Regarding the allegation Facility required an unqualified staff to train other staff. LPA Hurt interviewed two facility medication technicians, both stated they do allow new medication technicians to shadow them as part of the training process. The medication technicians both stated they are instructed during the shadow process not to train as it is only shadowing. The medication technicians stated they do end up answering any questions the newer medication technicians ask, but they are not training new staff. Based on interviews conducted, documentation obtained and reviewed during this investigation by Department of Social Services staff this allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Regarding the allegation Facility did not ensure that staff are being properly trained. Staff 1 stated they were given a training course by the facility nurse, and hands on training before assisting any residents with medications. Staff 1 stated they also did shadowing of other facility medication technicians. Based on interviews conducted, documentation obtained and reviewed during this investigation by Department of Social Services staff this allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Regarding the allegation Facility administrator did not prevent residents from missing medication doses. LPA Hurt reviewed three assisted living residents Centrally Stored Medication Record, and Medication Administration Record from the months of February 2024. The records document all three residents were administered their medications. Based on interviews conducted, documentation obtained and reviewed during this investigation by Department of Social Services staff this allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Continued... Staff are not properly managing residents’ medications. LPA Hurt reviewed three assisted living residents Centrally Stored Medication Record, and Medication Administration Record from the months of February 2024.The facility staff are assisting residents with their medications. Based on interviews conducted, documentation obtained and reviewed during this investigation by Department of Social Services staff this allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Facility did not ensure residents medical assessment forms are updated. Several facility residents in Assisted Living do not have their Physician's Reports updated annually as is not required. Based on documentation obtained and reviewed during this investigation by Department of Social Services staff this allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Exit interview conducted with Nestor Valdez and Vanessa Ramirez, and a copy of this report along with appeals rights 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.

  • 87465(a)Type A

    87465Incidental 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: Resident 1's had ongoing symptoms of a skin condition. Resident 1's Physician recommended they be seen by a dermatologist several times

FAQ · About this visit

Common questions about this visit

What happened during the September 26, 2024 inspection of MADONNA GARDENS?

This was a complaint inspection of MADONNA GARDENS on September 26, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to MADONNA GARDENS on September 26, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87465Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each fac..."

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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