Senior Care Records.

Complaint Investigation Report

Mariner's Green Residential Care, Redwood City07/18/2022Licence 415600230

Census6
Date signed07/18/2022 11:47:45 AM
The inspector’s account

415600230-7-18-2022-14-AS-KHOS-CHTJ8M-20220831064945

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 851 TRAEGER AVE., SUITE 360

This is an official report of an unannounced visit/investigation of a complaint received in our office on

07/11/2022 and conducted by Evaluator Komal Charitra

COMPLAINT CONTROL NUMBER: 14-AS-20220711133013

Staff administering supplements to resident without the permission of the resident's authorization representative

On July 18, 2022, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced complaint visit to deliver the findings for the above allegation. LPA met with Caregiver, Mely Garland and explained the purpose of the visit.

Regarding the allegation that staff are administering supplements to resident without the permission of the resident's authorized representative, according to the complainant, it was indicated that the facility serves a "cloudy" like liquid to residents and is unsure if the facility got authorization from residents family members. During the investigation, LPA interviewed staff and the administrator and it was indicated that the facility gives residents a liquid drink to take as a supplement to boost their immune system. According to the Administrator, he got verbal consent from 5 of the resident's responsible parties to administer the liquid drink to residents, however the Administrator admitted to not asking or receiving consent from a resident's (R1's) responsible party prior to administering the liquid drink.

Based on the information collected and interviews conducted. It was determined that staff are administering supplements to resident without the permission of the resident's authorization representative. The preponderance of evidence standard has been met, therefore the above allegation is determined to be Substantiated.

Deficiency of the Residential Care Elderly California Code of Regulations, Title 22, Division 6 is observed and cited on a LIC 9099D. Failure to correct the deficiencies may result in civil penalties.

This report is reviewed and discussed with Caregiver, Mely Garland and a copy is provided.

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