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Inspection visit

Follow-up on corrections

MERRILL GARDENS AT MONTEREYLicense 2752025912 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 1/4/2024, Licensing Program Analyst(LPA) D. Ayers arrived unannounced to deliver complaint findings and conduct a case management inspection. LPA met with Executive Director Tiffaney Santoro and announced the purpose of the inspection. The purpose of this inspection was to address deficiencies which were observed during the investigation of a complaint made against the facility, complaint control number 24-AS-20231115122107, received 11/15/2023. It was discovered that facility staff conducted a reappraisal on 11/19/2023, due to a change in a resident's condition, which did not include the responsible party of the resident. See California Code of Regulations Title 22, Division 6, Chapter 8, Article 8, Section 87463 Reappraisals. It was also discovered that, after a rate increase due to a change in the level of care of a resident, facility staff did not provide appropriate written notice of this increase in fees to the resident's representative within two business days of providing services at the new level of care. See Health and Safety Code, Chapter 3.2, Article 6, 1569.657. See attached LIC809D for deficiencies cited in accordance with California Code of Regulations and Health and Safety Code. Failure to correct these deficiencies could result in Civil Penalty. Exit interview conducted. A copy of this report and Appeal Rights were provided to the licensee.

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.

  • 87464(f)(4)Type B

    Personal assistance and care for required daily activities

    87464 Basic Services: (f)(4) Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance with taking prescribed medications...This requirement was not met as evidenced by Based on interviews and records review, the licensee failed to ensure that at least one out of 114 residents was provide necessary assistance with activities of daily living, which presents a risk to the health and safety of residents in care.

  • 1569.657Type B

    §1569.657 (a) For any rate increase due to a change in the level of care of the resident, the licensee shall provide the resident and the resident’s representative...written notice of the rate increase within two business days after initially providing services at the new level of care. This requirement was not met as evidenced by: Based on interview and records review, the licensee failed to meet this requirement for at least one resident and their responsible party, by not providing written notice within two business days of raising fees due to a change in the level of care.

  • 87463(c)Type B

    Document behavioral expression and related causes

    87463 Reappraisals: (c) The licensee shall arrange a meeting with the resident, the resident’s representative, if any, appropriate facility staff, and a representative of the resident’s home health agency, if any, when there is significant change in the resident’s condition...This requirement was not met as evidenced by: Based on record review and interview, the licensee failed to meet this requirement by conducting at least one reappraisal which did not include the responsible party for the resident being appraised. This presents a potential risk to the health and safety of residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 4, 2024 inspection of MERRILL GARDENS AT MONTEREY?

This was an other inspection of MERRILL GARDENS AT MONTEREY on January 4, 2024. 2 citations were issued: 2 Type B.

Were any citations issued to MERRILL GARDENS AT MONTEREY on January 4, 2024?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "87464 Basic Services: (f)(4) Personal assistance and care as needed by the resident and as indicated in the pre-admissio..."

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

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.