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Inspection visit

Incident investigation

MERRILL GARDENS AT GILROYLicense 4352028061 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct a case management - incident visit. LPA met with General Manager, Kippie Castronovo. During today's visit, LPA was verbally informed of a resident (R1's) death on 05/25/2024. Based on record review and interview, the facility did not notify the Department of R1's death within 24 hours of the occurrence date. R1's documents were requested by tomorrow (05/30/2024) morning: physician's report, needs and services plan, identification and emergency information, and progress notes for May 2024. Documents were obtained during visit to include the incident report, police case number, and coroner's case number. This case management visit will be pending investigation. A deficiency was cited per California Code of Regulations, Title 22. See LIC809-D. This report was reviewed with General Manager, Kippie Castronovo and a copy of the report and appeal was provided.

Citations

1 citation 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)(2)Type A

    (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (2) Occurrences, such as epidemic outbreaks, poisonings, catastrophes or major accidents which threaten the welfare, safety or health of residents, personnel or visitors, shall be reported within 24 hours either by telephone or facsimile to the licensing agency and to the local health officer when appropriate. This requirement is not met as evidenced by: Based on interview, record review, and observation the licensee did not ensure to report the resident (R1)'s death and incident to the department within 24 hours which poses / posed an immediate health, safety, and personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 29, 2024 inspection of MERRILL GARDENS AT GILROY?

This was a other inspection of MERRILL GARDENS AT GILROY on May 29, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to MERRILL GARDENS AT GILROY on May 29, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not l..."

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.