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Inspection visit

complaint

GREEN MERRYLANDSLicense 3618805432 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

For allegation, Staff are providing improper testing assistance to resident in care: Interviews with staff and document review revealed that the facility staff were using diabetic glucose test strips to test R1’s blood glucose level. R1 was not able to perform the testing on their own. The facility staff were testing R1’s glucose level by pricking R1’s skin and placing the blood on a test strip. LPA reviewed a daily log of R1’s glucose testing that was done by the facility staff. The facility staff is not allowed to test R1’s blood glucose level due to them not being skilled professionals. Based on the evidence gathered during the investigation, the two (2) allegations listed above are deemed SUBSTANTIATED. A finding that the complaints are SUBSTANTIATED means that the allegations are valid because the preponderance of evidence the standard has been met. During today’s visit, two (2) deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) and LIC9099D form was discussed and provided to Caregiver Osvaldo Nunes Aldrate "Aldrete" , along with a copy of the appeal rights. For allegation, Staff did not safeguard resident's personal belongings: It was alleged the R1’s clothing was missing and not returned to R1. Interviews with staff and document review revealed that R1 had a completed LIC621(Client/Resident Personal Property and Valuables) where personal belongings, including clothing, were logged. The staff denied taking, stealing, and or removing R1’s personal items from R1's bedroom. Document review revealed that R1 was returned all personal property during discharge from the facility. R1 was not present to interview. LPA interviewed R2, R3, R4, R5, and R6, the residents stated the facility staff has never stolen or removed personal items from their bedrooms. For allegation, Staff did not inform resident's authorized representative of resident's incident: Interviews with staff and document review revealed that there was no evidence of the facility not reporting an incident to R1’s authorized representative. During interviews with staff, the staff denied that an incident occurred with R1. The facility did not have documents to report an incident to R1’s authorized representative. State licensing did not receive an incident report for R1. R1 was not present to interview. Overall, there was not enough evidence to collaborate the allegations listed above. Based on evidence obtained during the investigation, the three (3) allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) was discussed and provided to Caregiver Osvaldo Nunes Aldrate "Aldrete", along with a copy of the appeal rights.

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.

  • 87609(b)(2)Type A

    87609 Allowable Health Conditions and the Use of Home Health Agencies(b) Incidental medical care may be provided to residents through a licensed home health agency provided the following conditions are met:(2) The licensee provides the supporting care and supervision needed to meet the needs of the resident receiving home health care. Based on interview and document review, the licensee did not comply with the section cited above evidenced by not having a care plan to support a resident’s home health needs which poses an immediate health, safety, or personal rights risk to persons in care.

  • 87628(a)Type A

    87628 Diabetes.(a) The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing with blood or urine specimens, and is able to administer his/her own medication including medication administered orally or through injection, or has it administered by an appropriately skilled professional. Based on interview and document review, the licensee did not comply with the section cited above evidenced by unskilled staff administering glucose testing to a resident which poses an immediate health, safety, or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 4, 2023 inspection of GREEN MERRYLANDS?

This was a complaint inspection of GREEN MERRYLANDS on August 4, 2023. 2 citations were issued: 2 Type A (serious).

Were any citations issued to GREEN MERRYLANDS on August 4, 2023?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "87609 Allowable Health Conditions and the Use of Home Health Agencies(b) Incidental medical care may be provided to resi..."

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.