Inspection visit

Follow-up on correctionsJanuary 22, 2024

GREEN MERRYLANDSLicense 3618805438 citations on this visit

8 citations recorded

Inspector’s narrative

What the inspector wrote

On 01/22/2024 at 11:04 AM, Licensing Program Analysts (LPAs) Melody Brown, Michelle Echeverria and Bianca Wolcott met with Administrator Brandon Marquez to initiate Case Management Visit. The investigation consisted of observation, interviews, and a review of pertinent documentation. Per documents review during the facility visit today, 01/22/2024, LPAs Brown, Echeverria and Wolcott reviewed documents and interview staffs and observed that Staff #3 (S3) has criminal background clearance but the Licensee/Administrator did not transfer S3's criminal background clearance to the facility. S3 reported to LPAs Brown, Echeverria and Wolcott that S3 started working at the facility on 01/09/2024. Interviews with Staff #1 (S1) and Staff #2 (S2) confirmed that Staff #4 (S4) had been working at the facility since 01/06/2024 and per documents review, LPAs Brown, Echeverria and Wolcott observed that S4 does not have criminal background clearance and S2 reported to LPAs Brown, Echeverria and Wolcott that S4 started working at the facility on 01/06/2024. LPAs Brown, Echeverria and Wolcott informed Administrator Marquez that deficiency will be issued and Civil Penalties were assessed during the facility visit today, 01/22/2024 with the amount of $200.00 will be assessed for allowing S4 to work at the facility without criminal background clearance and $500.00 for S3 working at the facility without criminal background clearance transfer and will continue to be assessed of $100.00 per day per citation until corrected for for not transferring S3 criminal background clearance to the facility. Moreover, documents review also indicated that the facility does not have the records for Resident #1 (R1) and S2 reported to LPAs Brown, Echeverria and Wolcott that S1 admitted R1 to the facility without any documentation. Deficiency will be issued. During the tour of the facility, LPAs Brown, Echeverria and Wolcott observed that Resident #2 (R2) has full bedrails and per documents review, R2 was not on hospice and no written documentation from R2's physician indicating the need for full bed rail and no full bed rail exemption was submitted to Community Care Licensing Division (CCLD). Deficiency will be issued. *** Continuation in LIC809C *** Also, during the tour of the facility on 01/22/2024 at 11:20 AM, LPAs Brown, Echeverria and Wolcott observed one (1) knife in the kitchen cabinet, not locked and accessible to clients in care. Deficiency will be issued as this pose immediate health, safety and personal rights risks to residents in care. Furthermore, LPAs Brown, Echeverria and Wolcott observed no first aid book available at the facility. Deficiency will be issued. Moreover, LPAs Brown, Echeverria and Wolcott observed broken drawers in the kitchen cabinet and laundry room. Deficiencies will be issued. Moreover, LPAs Brown, Echeverria and Wolcott observed that Resident #3 (R3), Resident #4 (R4) and Resident #5 (R5) medications were dispensed but staff at the facility did not update R3, R4 and R5 Medication Administration Record (MAR). Deficiency will be issued. Lastly, during the visit on 01/22/2024, LPAs Brown, Echeverria and Wolcott observed that no Administrator present at the facility during working hours and LPAs Brown, Echeverria and Wolcott had to contact Administrator to go to the facility. Deficiency will be issued. Also, LPAs observed no Administrator present at the facility during working hours. Deficiency will be issued. Per records review, the facility were cited for the same regulations within 12-month period for CCR 87303(a) and HSC 1569.618(a), civil penalty will be issued today, 01/22/2024 with the amount of $250.00 per repeat violation within 12-month period. An exit interview was conducted where this report, LIC809, LIC809D, 421BG, 421FC and Appeal Rights were discussed and provided to Administrator Brandon Marquez.

Citations

9 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.

1569.618(a)Type B
HSC 1569.618 Administration and management of residential care facilities; substituted qualifications; employee scheduling (a) The administrator designated by the licensee pursuant to paragraph (11) of subdivision (a) of Section 1569.15 shall be present at the facility during normal working hours. A facility manager designated by the licensee with notice to the department, shall be responsible for the operation of the facility when the administrator is temporarily absent from the facility. This requirement is not met as evidenced by: Based on observation, interview and records review, the Licensee did not comply with the section cited above by not having an Administrator present during working hours at the facility which pose potential health, safety and personal rights risks to residents in care.
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87303(a)Type B
87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety...This requirement is not met as evidenced by: Based on observation and interview, the Licensee did not comply with the section cited above by not having the kitchen cabinet and laundry cabinet in good repair which pose potential health, safety and personal rights risks to residents in care.
87309(a)(1)Type A
87309 Storage Space (a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. (1) Storage areas for poisons, and firearms and other dangerous weapons shall be locked. Based on observation, interview and records review, the LIcensee did not comply with the section cited above by not locking the one (1) knife at the kitchen cabinet making it accessible to residents in care which pose immediate health, safety and personal rights risks to residents in care.
87355(e)(1)Type A
87355 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance... This requirement is not met as evidenced by: Based on observation and interview, the Licensee did not comply with the section cited above by not obtaining Staff #4 (S4) criminal record clearance before allowing S4 to work at the facility on 01/06/2024 which pose immediate health, safety and personal rights risk to residents in care.
87355(e)(2)Type B
87355 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance... This requirement is not met as evidenced by: Based on observation and interview, the Licensee did not comply with the section cited above by not transferring Staff #3 (S3) criminal record clearance to the facility before allowing S3 to work at the facility on 01/09/2024 which poses potential health, safety and personal rights risk to residents in care.
87465(a)(6)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...(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement is not met as evidenced by: Based on observation, interviews and records review, the Licensee did not comply with the section cited above by not updating R3, R4 and R5 Medication Adminisitration Record (MAR) after dispensing R3, R4 and R5 medications per their physician's order which pose immediate health, safety and personal rights risks to residents in care.
87608(a)(5)(B)Type B
87608 Postural Supports (a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions (5) Under no circumstances shall postural supports include tying, depriving, or limiting the use of a resident's hands or feet. (B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidenced by: Based on observation, interview and records review, the Licensee did not comply with the section cited above by allowing Resident #2 (R2) to have full bed rail at the facility which pose potential health, safety and personal rights risks to resident in care.
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87224(a)Type B
87224 Eviction Procedures (a) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required … Licensee did not meet this requirement as evidenced by: Based on interviews, record review and observations, the Licensee refused to accept R1 back to the facility upon hospital discharge. This posed a potential Health, Safety or Personal Rights risk to residents in care.
87506(e)Type B
87506 Resident Records (e) Original records or photographic reproductions shall be retained for a minimum of three (3) years following termination of service to the resident. This requirement is not met as evidenced by: Based on observation, interview and records review, the Licensee did not comply with the section cited above by not having Resident #1 (R1) record at the facility which poses potential health, safety and personal rights risks to resident in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 22, 2024 inspection of GREEN MERRYLANDS?

This was a other inspection of GREEN MERRYLANDS on January 22, 2024. 8 citations were issued: 3 Type A (serious) and 5 Type B.

Were any citations issued to GREEN MERRYLANDS on January 22, 2024?

Yes, 8 citations were issued (3 Type A, 5 Type B). The first citation was for: "HSC 1569.618 Administration and management of residential care facilities; substituted qualifications; employee scheduli..."

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 CCLD View original report

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Data from CCLD public records. Last updated May 25, 2026. If you believe any information is inaccurate, report it here.

Follow-up on corrections·January 22, 2024