Senior Care Records.

Facility Evaluation Report

Green Merrylands, Fontana08/07/2024Licence 361880543

Capacity6
Census5
Date signed08/07/2024 05:23:17 PM
The inspector’s account

On 08/07/2024 at 08:45 AM, Licensing Program Analyst (LPA) Melody Brown made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection.LPA Brown met with a staff and was granted entry to the facility. At the time of the visit there were two (2) staff present, and five (5) residents present. Vicente Picache Arambula reported to LPA Brown that Administrator Brandon Marquez was not at the facility. LPA Brown contacted Administrator Marquez and informed of the visit but call was not answered. LPA Brown explained the purpose of the visit to Vicente Picache Arambula.

The facility is a five (5) bedroom, two (2) bathroom home with a kitchen/dining area, living room, laundry area and garage. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of six (6) residents of which six (6) can be non-ambulatory residents. The facility has two (2) Hospice Waiver. The current census is five (5) residents. LPA Brown was accompanied by Vicente Picache Arambula to conduct a general overall inspection, which included, but was not limited to, the following:

Physical Plant : The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). LPA Brown observed no obstructions to indoor passageways. The facility is maintained at a comfortable temperature of 76 degrees Fahrenheit. LPA Brown inspected resident bedrooms; they are equipped with required furniture such as: mattresses, and storage space. However, LPA Brown did not observed lamps and chairs. Technical Violation issued. Also, LPA Brown observed sufficient lightning. Moreover, LPA Brown observed that bathrooms were clean, and appliances were operating appropriately. LPA Brown observed grab bars and non-skid mat in the resident bathrooms. Furthermore, during the tour of the facility, LPA Brown was denied access of the Administrator Office for spot inspection. Deficiency will be issued. LPA Brown observed movable bins used for storage of solid wastes outside the facility in disrepair. Deficiency will be issued.LPA Brown observed movable bins used for storing or transporting solid wastes from the premises does not have cover inside the facility. Deficiency will be issued. LPA Brown observed no chair and lamp on all resident bedrooms. Technical Violation will be issued. ***Continuation in LIC809C ***

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction