Inspection visit
complaint
Inspector’s narrative
What the inspector wrote
Citations
4 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.
- 87211(a)(1)(D)Type A
Reporting Requirements: (a) Each licensee shall furnish to the licensing agency...the following:(1) A written report shall be submitted...within seven days...of any of the events specified ...(D) Any incident which threatens the welfare, safety or health of any resident... This was not met by: Based on record review, the Licensee did not comply with the above regulation with at least one incident. LPA Colvin observed that emergency services were called out to the facility on 6/8/20 but the facility never submitted an Incident Report to CCL. This was an immediate safety risk to all residents.
- 87355(e)(2)Type A
Criminal Record Clearance: (e) All individuals ...shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c). This requirement was not met by: Based on observations and record review, the Licensee did not comply with the above regulation with one staff member (S2). LPA Colvin observed that S2 was present in the facility wihtout proof of background clearance. S2 is not associated to the facility. This is an immediate safety risk to residents in care.
- 87412(a)(13)(B)Type B
Personnel Records : (a) The licensee shall ensure...records are maintained on...each employee. Each personnel record shall contain...: (13) For employees...(B) Documentation of either a criminal record clearance or a criminal record exemption... This requirement was not met by: Based on record review and interview, the Licensee did not comply with the above regulation with one staff member (S2). Licensee was unable to provide LPA Colvin with proof of clearance or transfer in S2's personnel file. This is a potential safety risk to all residents in care.
- 87468.2(a)(1)Type B
Additional Personal Rights of Residents in Privately Operated Facilities : (a) In addition to the rights listed...residents... ave all of the following personal rights:(1) To have...privacy in...medical treatment, personal care and assistance... This requirement was not met as evidenced by: Based on interviews, the Licensee did not comply with the above regulation with at least one resident (R1). Licensee stated that S1 took photos of R1 when paramedics responded to provide medical aid. Licensee does not have consent on file. This posed a potential personal rights violation to R1.
FAQ · About this visit
Common questions about this visit
What happened during the October 15, 2021 inspection of TERRACE GARDENS?
This was a complaint inspection of TERRACE GARDENS on October 15, 2021. The inspection found no deficiencies and no citations were issued.
Were any citations issued to TERRACE GARDENS on October 15, 2021?
No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.
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.
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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.