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Inspection visit

Follow-up on corrections

CITRUS GARDENSLicense 3364267593 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Jesse Gardner arrived at the facility unannounced for the purpose of investigating a complaint (#18-AS-20211018132918). During the inspection, LPA observed several deficiencies and the following is a detailed description:. Fire Safety - While touring the facility near R1's bedroom, LPA Gardner observed a door that was able to be unlocked by hand, but then once around the backside of the door, noticed that it was secured with two screws preventing it from opening. Deficiency cited . Personnel Requirements - General- Upon looking through records, LPA did not find an emergency intervention plan to annotate what employees need to do when a residents leaves the facility unannounced. Deficiency cited . Personnel Requirements - General- LPA noted that on the facility schedule at the time of the incident, there was no staff working the building where R1 was housed. Deficiency cited .

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.

  • 87203Type A

    Fire Safety- All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement was not being met as evidenced by: LPA Gardner observed two screws securing the door shut. This poses an immediate health and safety risk to residents in care.

  • 87411(a)Type A

    Personnel Requirements - Facility personnel shall at all times be sufficient in numbers.... Additional staff shall be employed as necessary to perform.. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services... This requirement was not being met as evidenced by: LPA Gardner the staffing schedule on the dates for the two incidents and found staffing was absent in the area of the incident. This poses an immediate health and safety risk to residents in care.

  • 87411(d)(3)Type B

    All personnel shall be given on the job training or have related experience in the job assigned to them.(3) Skill and knowledge required to provide necessary resident care and supervision, including the ability to communicate with residents. This requirement was not being met as evidenced by: During a review of records, LPA did not observe any Emergency Intervention training for staff when a resident leaves the facility. This poses an potential health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the October 21, 2021 inspection of CITRUS GARDENS?

This was a other inspection of CITRUS GARDENS on October 21, 2021. 3 citations were issued: 2 Type A (serious) and 1 Type B.

Were any citations issued to CITRUS GARDENS on October 21, 2021?

Yes, 3 citations were issued (2 Type A, 1 Type B). The first citation was for: "Fire Safety- All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for..."

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

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.