Skip to main content

Inspection visit

Follow-up on corrections

MAGNOLIA GOLD HOME CARELicense 4868038955 citations on this visit
5 citations recorded

Inspector’s narrative

What the inspector wrote

LPA Canela arrived at Magnolia Gold Home Care for the purpose of addressing deficiencies discovered during a complaint investigation. LPA met with Madonna Martinez, Administrator. During the investigation it was determined that Resident (R1) resided in bedroom which is not approved for bedridden residents. R1's physician report (LIC 602) indicates R1's ambulatory status is bedridden. Magnolia Gold Home Care is approved by the Fairfield Fire Department for 1 bedridden resident in master bedroom only. R1 with an bedridden ambulatory status staying in an non-bedridden approved bedroom is a fire clearance violation. Additionally during today's inspection, LPA observed Individual (I1) in the kitchen near resident's food. Staff S1 was observed assisting a resident in the bathroom and S2 was observed contacting Administrator and later in resident hallway assisting S1. I1 stated it was their first day "shadowing" training. Administrator arrived later and stated I1 does not work at Magnolia Gold Home, I1 was waiting for Administrator. LPA confirmed with the facility's personnel roster printed 03/04/2022 that I1 is finger print cleared but not associated as required. LPA explained prior to anyone working (including shadowing a staff and/or training), volunteering, residing or being present in any part of the licensed facility, they are required to be fingerprint cleared and associated to the facility. LPA explained Community Care Licensing (CCL) requirements and provided the regulation. Licensee stated they understood CCL's requirements and prior to anyone working, providing care, volunteering, or residing at a licensed facility, the individual must obtain a fingerprint clearance and be associated to the facility. Report continued on LIC809-C Additionally, during the inspection LPA observed Staff (S1)'s personal belongings including clothing and 9 bottles of medication (over-thecounter and prescribed) and a 7-day medication pill organizer (morning, noon, evening, and bedtime) with pills. The medication was observed unlocked in Resident (R1)'s bedroom closet. LPA explained staff can not have their personal belongings stored in resident's bedrooms. S1 stated she understood. During inspection visit dated 09/02/2021, LPA explained and cited for unlocked & accessible medications and unassociated individual in the facility. Additionally, LPA observed residents (R1 & R2) with half bed rails on their beds. Records reviewed did not show R 1 & R2 have prescriptions for half bed rail use for assistance with mobility (postural support). Immediate Civil Penalties in the total amount of $1,100 were assessed today: $500 for a fire clearance violation. $100 for an unassociated individual. $250 for a repeated violation of an unassociated individual present at the facility. $250 for a repeated violation of unlocked/accessible medication. Appeal Rights Provided. Deficiencies cited (see LIC809-D page) from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiencies and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with Administrator Madonna Martinez, whose signature below confirms receipt of report.

Citations

7 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.

  • 87202(a)(2)Type A

    87202 Fire Clearance: (a)All facilities shall maintain a fire clearance approved by the city, county,... fire department...Prior to accepting or retaining...the following ... the applicant or licensee shall notify the licensing agency & obtain an appropriate fire clearance approved by the... fire department...(2) Bedridden persons This requirement was not met as evidenced by: Based on observation, interviews, and record review - Administrator did not ensure the regulation above due to having bedridden resident (R1) in a non-ambulatory bedroom (not approved for bedridden residents). This is an immediate health & safety risk to residents in care.

  • 87355(e)(2)Type B

    87355 Criminal Record Clearance - (e)All individuals subject to a criminal record review...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 as evidenced by: Based on record review, observation, and interviews conducted: Administrator did not assocaitate individual (I1) prior to working, residing or being present in the facility.This is a potential safety and personal rights risk to the residents in care.

  • 87608(a)(5)(A)Type B

    87608 Postural Supports- (a)... Postural supports may be used under the following conditions. (5)... (A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed. This requirement was not met as evidenced by: Based on LPA's observation and records reviewed, residents (R1 & R2) were observed with half bed rails and the facility does not have prescriptions from the resident's doctors. Administrator did not ensure residents had prescriptions prior to the use of half bed rails. This is a potential safety and personal rights risk to residents in care

  • 87999Type B

    87468.1 Personal Rights of Residents in All Facilities -(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (13) To have access to individual storage space for private use. This requirement was not met as evidenced by: Based on interviews and observations, Administrator did not ensure the above regulation due to Staff (S1)'s personal belongings were stored in R1's bedroom closet. This is a potential personal rights violation to residents in care

  • 87468.1(a)(2)Type B

    87468.1 Personal Rights of Residents in All Facilities -(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations... This requirement was not met as evidenced by: Based on interviews, records reviewed,and observations made, the facility did no ensure the regualtion due to staff observed without wearing a mask and not screening visitors for COVID symptoms. This is a potential health & safety risk to residents in care.

  • 87555(b)(7)Type A

    87555General Food Service Requirements - (b) The following food service requirements shall apply: (7) Modified diets prescribed by a resident's physician as a medical necessity shall be provided. This requirement was not met as evidenced by: Based on interviews and records reviewed, the facility failed to ensure resident (R1) was following a modified diet according to their diabetic diagnosis. Staff provided food items such as apple pie and peanut butter sandwiches because resident had requested it.

  • 87465(h)(2)Type A

    87465(h)(2) Incidental Medical & Dental Care: (h) The following requirements shall apply...(2)Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement was not met as evidenced by: Based on observation and interviews conducted, Administrator did not ensure medications to be kept locked and inaccessible to residents. This is an immediate health & safety risk to residents.

FAQ · About this visit

Common questions about this visit

What happened during the March 4, 2022 inspection of MAGNOLIA GOLD HOME CARE?

This was a other inspection of MAGNOLIA GOLD HOME CARE on March 4, 2022. 5 citations were issued: 2 Type A (serious) and 3 Type B.

Were any citations issued to MAGNOLIA GOLD HOME CARE on March 4, 2022?

Yes, 5 citations were issued (2 Type A, 3 Type B). The first citation was for: "87202 Fire Clearance: (a)All facilities shall maintain a fire clearance approved by the city, county,... fire department..."

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

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

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