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Inspection visit

Routine inspection

MARIAH'S GARDEN HOME CARELicense 41560098813 citations on this visit
13 citations recorded

Inspector’s narrative

What the inspector wrote

On August 29, 2023 Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA met with administrator and explained the purpose of today's visit. LPA toured the facility inside and outside including the bedrooms (3 shared bedrooms), 2 full- bathrooms, kitchen, living and dining rooms. Bedrooms were equipped with the required furniture for residents to use. Bathrooms are equipped with grab bars, but no nonskid mats. Facility temperature is comfortable. Hot water temperature was measured at 94-95 degrees F. LPA observed stairs to the garage were dirty and sticky, garbage can in the kitchen was dirty, garbage can and toilet paper holder in the female bath/shower room were dirty and rusty. During the Central stored medication review, LPA observed, toxins and sharps objects were not locked and accessible to residents. Resident #1 (R1) was given a medication that was not prescribed by the physician and 6 out of 6 resident's medication records have omissions from 8/26/2023 - 8/29/2023 AM and the administrator stated that the medications were given by staff failed to sign it. Emergency drills, and staff training records were reviewed and observed to be inadequate. Food supplies were observed to be adequate. Facility is equipped with smoke detectors and carbon monoxide detectors. Staff records were reviewed and contained criminal clearance, first aid / CPR certificate, Health Screening with TB test result and criminal record statement. LPA reviewed resident's files contained resident's identification and emergency information, admission agreement, medical assessment, LIC 602 (Physician Order), Appraisal Needs and Service Plan, etc. During today's inspection, there was 3 residents present and 3 were out in the community as their physician's order indicated that they are able to leave the facility unattended. Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. This report is reviewed and discussed. A copy of this report and Appeal Rights were provided.

Citations

13 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.

  • 1569.69(e)(1)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as the staff training records revealed only the date and hours of completion which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.69(e)(2)(A)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as the administrator stated that staff training was completed by reading and reviewing RCFE workbook which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.69(e)(3)(C)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above the staff training records revealed only the date and hours of completion which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.695(c)Type A

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as the facility did not conduct fire drills at least quarterly for each shift which poses an immediate health, safety or personal rights risk to persons in care.

  • 87303(a)Type B

    Maintain facility in clean, safe, sanitary condition

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed stairwell going down to the garage was sticky and dirty, the garbage can in the kitchen was dirty, the garbage can and the toilet paper holder in the female bathroom were dirty and rusty which poses/posed a potential health, safety or personal rights risk to persons in care.

  • Keep bath, laundry and kitchen floors clean

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed the kitchen floor was dirty in between the medication cabinet and the food cart which poses/posed a potential health, safety or personal rights risk to persons in care.

  • Provide resident hot water for personal care

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed water temperature in resident's bathrooms and kitchen were measured at 94-96 degrees F which poses/posed a potential health, safety or personal rights risk to persons in care.

  • Mark taps at high-temperature threshold

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above LPA observed the water was measured at 94 degrees F which poses/posed a potential health, safety or personal rights risk to persons in care.

  • Use slip-resistant surfaces in bathing areas

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA did not observe any non-skid mats or strips in resident's bathrooms/ shower rooms which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87309(a)Type A

    Ensure hazardous items are locked and not unattended

    Based on (observation) (interview) (record review), the licensee did not comply with the section cited above as LPA observed sharps and chemicals stored underneath the kitchen sink was not locked and was accessible to residents which poses an immediate health, safety or personal rights risk to persons in care.

  • Give PRN medication by physician order

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as resident #1 (R1) was given a medication that was not prescribed by the physician which poses an immediate health, safety or personal rights risk to persons in care.

  • Record dose details and resident medication response

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed 6 out of 6 resident's medication record did not indicate that medications were administered from 8/26/2023 to 8/29/2023 AM which poses an immediate health, safety or personal rights risk to persons in care.

  • Kitchen sanitation against contamination sources

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed kitchen floor was dirty which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 29, 2023 inspection of MARIAH'S GARDEN HOME CARE?

This was an inspection of MARIAH'S GARDEN HOME CARE on August 29, 2023. 13 citations were issued: 4 Type A (serious) and 9 Type B.

Were any citations issued to MARIAH'S GARDEN HOME CARE on August 29, 2023?

Yes, 13 citations were issued (4 Type A, 9 Type B). The first citation was for: "Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as the st..."

What type of inspection was this?

This was an inspection. Inspections are conducted by CCLD as part of their licensing oversight.

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