Inspection Reports for Maravilla

An unannounced annual inspection was conducted as a required one-year visit to evaluate the facility's compliance with regulations.

The inspection included a tour of the physical environment, review of resident files, and assessment of fire safety and sanitation. The facility was found to have proper postings, clean kitchen and dining areas, sufficient food supplies, and well-maintained fire extinguishers and elevators. Resident files contained all required documentation. The inspection was not completed due to time constraints and will continue at a later date.

The visit was an unannounced complaint investigation triggered by an allegation that staff did not safeguard a resident's personal belongings, specifically missing jewelry and cash from Resident 1's room while they were hospitalized.

The investigation found insufficient evidence to prove who took the missing jewelry or where it went, and there was no evidence implicating facility staff. The allegation was deemed unsubstantiated at this time. Law enforcement was contacted but no charges were made.

The complaint alleged that staff did not safeguard Resident 1's personal belongings, including 11 pieces of jewelry and approximately $400 in cash missing from their room during a hospital stay from 6/21/2024 to 7/5/2024. The investigation included interviews with staff, residents, and the private caregiver, who reported multiple instances of items being moved in the room. Another resident reportedly lost $100 around the same time. One staff member was noted to have been sleeping in Resident 1's room during a shift and made an inappropriate comment about the missing items. Despite these findings, there was insufficient evidence to substantiate the allegation against facility staff.

A case management - deficiencies visit was conducted to reissue a report originally provided due to a technical glitch.

A deficiency was found where a background check for a private caregiver for Resident 1 had not been completed, posing an immediate risk to residents in care. The administrator had already provided documents on the original citation and the plan of correction was cleared.

The inspection was an unannounced complaint investigation triggered by allegations that staff did not assist a resident to the correct room and that the facility did not have adequate staff to meet residents' needs.

The investigation substantiated that agency staff mixed up two male residents in the memory care unit, failing to follow transferring policies, posing a potential health and safety risk. The agency staff involved was barred from working in the facility. The allegation regarding inadequate staffing was unsubstantiated due to insufficient evidence, though technical assistance was provided to adjust staffing ratios based on resident needs.

The complaint was substantiated regarding staff mixing up residents, confirmed by interviews and document review. The staffing adequacy allegation was unsubstantiated due to lack of preponderance of evidence.

An unannounced annual inspection was conducted to evaluate compliance with regulations at the Maravilla Residential Care Facility for the Elderly.

The inspection included a tour of the facility, review of resident activities, and assessment of fire safety equipment. A medication discrepancy was found involving an unexplainable overcount of a resident's medication, posing an immediate health and safety risk.

An unannounced complaint investigation visit was conducted in response to multiple allegations received on 07/09/2021 concerning rough handling, verbal abuse, lack of dignity, unmet resident needs, and failure to safeguard resident belongings at the facility.

The investigation found insufficient evidence to substantiate any of the allegations. Interviews, observations, record reviews, and documentation including call button logs and medical records showed no evidence of rough handling, verbal abuse, neglect, or theft. All allegations were deemed unsubstantiated.

The complaint included allegations of rough handling of residents, verbal abuse by staff, failure to accord residents dignity, unmet resident needs, and failure to safeguard resident belongings. The investigation was unannounced and conducted by Licensing Program Analyst Brian Phillips. The allegations were found unsubstantiated based on interviews with residents and staff, record reviews, and observations.

An unannounced complaint investigation visit was conducted following multiple allegations including failure to meet residents' incontinence needs, resident injury, lack of communication with authorized representatives, medication errors, and insufficient staffing.

The investigation found insufficient evidence to substantiate any of the allegations. Staff responded timely to call buttons, no resident injuries were confirmed, communication with authorized representatives was documented, medications were administered correctly, and staffing levels were adequate.

The complaint investigation was triggered by allegations that included unmet incontinence needs, resident injury, poor communication with authorized representatives, medication errors, and insufficient staffing. After interviews, observations, and record reviews, all allegations were deemed unsubstantiated due to lack of evidence.

An unannounced complaint investigation was conducted based on an allegation that the facility is in disrepair, specifically concerning inoperable elevators.

The investigation found that both elevators in Assisted Living were not working properly on multiple dates, posing a potential health and safety risk to residents. At the end of the visit, the elevators were repaired but were noted to need modernization to avoid further repairs.

The complaint was substantiated. Interviews revealed Resident 1 was detained on a separate floor for approximately 2 hours due to elevator malfunctions. Elevators #1 and #2 were out of order on 1/18/2023, 2/10/2023, 2/11/2023, 2/13/2023, and 2/14/2023. The elevators were repaired by the end of the visit but require modernization.

The visit was a Case Management - Deficiencies inspection to issue final findings and citations related to a previous case management visit triggered by the death of Resident #1 on 11/26/2021.

The investigation found that Resident #1 ingested antifreeze that was not properly secured by staff, leading to the resident's death by Ethylene Glycol ingestion, ruled as suicide. Multiple staff were aware of the antifreeze but failed to notify management or remove it, posing an immediate health and safety risk.

The allegation of Questionable Death was substantiated based on the investigation. A $500 immediate civil penalty was assessed, with potential for additional penalties.

An unannounced one-year Infection Control Inspection visit was conducted as a required annual inspection of the facility.

The facility was found to be following infection control protocols, maintaining cleanliness, proper PPE supplies, and appropriate staff training. The physical environment and accommodations were assessed and found compliant with required postings and safety measures.

An unannounced Case Management – Incident visit was conducted to address a self-reported incident regarding medication administration reported to Community Care Licensing on 2023-01-19.

The facility failed to administer prescribed medication (Seroquel) to a resident on three consecutive days due to the medication being misplaced in the overflow cart. Staff did not follow physician's orders, posing an immediate health and safety risk to residents.

The visit was complaint-related, triggered by a self-reported incident involving missed medication doses for a resident. The incident was substantiated by records review.

The visit was a Case Management follow-up conducted to address deficiencies noted during a complaint investigation visit on 02/15/2023 related to hospice notification and reporting requirements.

The facility failed to notify the Department in writing within five working days of the initiation of hospice care for a resident and did not submit a Serious Illness/Serious Injury report within seven days for another resident's change of condition, posing potential health and safety risks.

The visit was conducted to address deficiencies noted during Complaint Control #29-AS-20230210144006 investigation visit on 02/15/2023.

An unannounced complaint investigation visit was conducted to address allegations that staff did not respond timely to a resident's call button and did not seek timely medical attention for a resident.

The investigation determined that the resident involved does not reside in the licensed Assisted Living or Memory Care portions of the facility but in the Independent Living section, which is not licensed by the Community Care Licensing Division. Therefore, the allegations were deemed unfounded.

The complaint was investigated and found to be unfounded because the resident in question does not reside in the licensed portion of the facility. The allegation was determined to be false or without reasonable basis.

An unannounced complaint investigation visit was conducted in response to multiple allegations including failure to communicate changes in resident functionality, improper following of care plans, delayed response to call buttons, language barriers, and understaffing.

The investigation found all allegations to be unsubstantiated based on reviews of resident records, staff and resident interviews, and staff schedules. Communication with resident representatives and physicians was documented, care plans were followed with some accommodations, call button response times were adequate, staff spoke English, and staffing levels were sufficient to meet residents' needs.

The complaint investigation was unsubstantiated. Allegations included failure to communicate changes to resident's authorized representative and physician, improper care plan adherence, untimely call button response, language barriers, and understaffing. Each allegation was investigated and found unsubstantiated based on documentation and interviews.

An unannounced One Year Infection Control Annual visit was conducted to assess compliance with infection control and other regulatory requirements.

Two deficiencies were found: two individuals were scheduled to work without a Criminal Record Clearance, and cleaning supplies were stored in an unlocked cabinet accessible to residents with dementia. Both deficiencies posed immediate health and safety risks and resulted in citations and a civil penalty.

An unannounced complaint investigation was conducted in response to allegations that the facility illegally evicted a resident and staff did not provide adequate care and supervision to a resident in care.

The investigation found insufficient evidence to support the allegations. The resident's behavior required one-on-one care which the Power of Attorney initially agreed to provide but later refused. The resident was not evicted by the facility but moved out voluntarily. The allegations were deemed unsubstantiated.

The complaint investigation was initiated due to allegations of illegal eviction and inadequate care. The investigation included interviews with the administrator, witnesses, and review of relevant documents. The findings concluded the allegations were unsubstantiated.

The visit was a case management investigation triggered by an email from the administrator reporting the death of a resident in care on 11/26/2021.

A deficiency was cited for failure to comply with regulations regarding staff transfer association, posing an immediate risk to residents. The death of the resident was referred to the Community Care Licensing Investigation Branch for further investigation.

The visit was complaint-related due to the reported death of a resident. The death was referred to the Community Care Licensing Investigation Branch for further investigation.