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Inspection visit

Follow-up on corrections

TERRACE GARDENSLicense 3664262812 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced visit to the facility to initiate the complaint investigation and deliver findings for complaint number: 56-AS-20220808090401. LPA met with Dekki Mawikere, administrator, who was explained the purpose of today’s visit. During the complaint investigation, LPA Bueno found that both side gates are secured but one of the gates is locked. LPA also found that Resident 1 (R1) was receiving nonprescription PRN medication. This poses a potential risk for residents in care. Refer to LIC-809D for deficiencies cited. An exit interview was conducted where this report, LIC-809D, and appeal rights were discussed and provided to Mr. Mawikere.

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.

  • 87465(b)Type B

    If the resident's physician has stated in writing that the resident is able to determine and communicate his/her need for a prescription or nonprescription PRN medication, facility staff shall be permitted to assist the resident with self-administration of his/her PRN medication. This requirement was not met as evidenced by:Administrator interview showed that Resident 1 is receiveing two nonprecription PRN medications. This poses a potential health and safety risk to residents in care.

  • 87705(l)(2)Type B

    The following initial and continuing requirements shall be met for the licensee to lock exterior doors or perimeter fence gates: The licensee shall ensure that the fire clearance includes approval of locked exterior doors or locked perimeter fence gates. This requirement was not met as evidenced by:LPA and Staff 1 viewed one of two side gates secured and locked with padlock. This poses a potential safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 16, 2022 inspection of TERRACE GARDENS?

This was a other inspection of TERRACE GARDENS on August 16, 2022. 2 citations were issued: 2 Type B.

Were any citations issued to TERRACE GARDENS on August 16, 2022?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "If the resident's physician has stated in writing that the resident is able to determine and communicate his/her need fo..."

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.