Merrill Gardens At West Covina

Licensing Program Analyst (LPA) Erik Zaragoza conducted an unannounced complaint visit to address the allegations listed above. LPA Met with Sherry Fischer, administrator for the facility, and explained the purpose of the visit. The investigation consisted of the following: LPA obtained staff and resident rosters, interviewed Residents #1 - 11 (R1 - R11), Staff #1 - 3 (S1 - S3), obtained a copy of the report number from the West Covina Police Department, obtained the facility policy concerning Emergency Response Systems, and also obtained the Physician's Report for R1. Since the initial visit, LPA interviewed Staff #4 (S4). During today's visit, LPA is delivering the findings of the investigation. The investigation revealed the following: In regards to the allegation that "Staff did not assist resident off the floor," it is alleged that a S4 refused to assist R1 out of bed after they had fallen in their room and used their call button to request assistance, and was advised by S4 to calRead the full finding— CDSS inspection report, March 24, 2026 · control 28-AS-20260303152721

Licensing program Analyst (LPA) Mary Flores conducted an unannounced subsequent visit regarding the above allegation. LPA met with Sherry Fischer and explained the reason for the visit. The investigation consisted of the following: On 7/12/23 LPA requested copies of staff/resident roster and conducted a health and safety check tour of the facility. LPA requested the following documents: Physician's reports, death reports, hospice documents, for resident #1-#7(R1-R7), and employment application for 3 staff that cover night shift. On 10/31/23 Administrator provided a copy of death certificate for R1. On 11/9/23 LPA Flores interviewed 1 staff over the phone, 5 staff at the facility, and delivered findings. The investigation revealed the following: Regarding allegation: Questionable death. It is alleged, on 6/9/23 Resident #1(R1) passed away suddenly and was observed well the same day. Interviews conducted with staff revealed, although there may have been concerns about the death of the reRead the full finding— CDSS inspection report, November 9, 2023 · control 28-AS-20230711131239

Licensing Program Analyst (LPA) Nune Margaryan conducted an initial 10-Day complaint visit to investigate the above allegation. The purpose of the visit was discussed with Business Office Director Patricia Colin. The investigation consisted of the following: LPA obtained copies of staff & resident rosters, interviewed Staff 1 (S1) and requested Resident 1 (R1) file. Resident (R1's) file was reviewed. The following documents were obtained pertaining to R1:Identification and Emergency Information/Face Sheet, Admission Agreement, Physician Report, Pre-Placement Appraisal Information, Advance Healthcare Directive, Consent for emergency medical treatment, Personal Rights. See LIC 9099C for report continuation. SubstantiatedRead the full finding— CDSS inspection report, September 18, 2023 · control 28-AS-20230911162517

Licensing Program Analyst (LPA) Erik Zaragoza conducted a follow up complaint investigation regarding the allegations listed above. LPA met with Sherry Fischer the Administrator and explained the reason for the visit. The investigation revealed the following: during the initial visit conducted on 01/20/2022, LPA Kruz Long LPA obtained/reviewed a copy of the Staff/Resident rosters, work orders and interviewed two staff members in the conference room. During today's visit, LPA Zaragoza interviewed Residents 1 - 12 (R1, R2, R3, R4, R5, R6, R7, R8, R9, R10, R11, R12), and Staff #1 - 6 (S1, S2, S3, S4, S5, S6). LPA also obtained copies of the following documentation: Currest Staff and Resident Rosters for the facility, work orders for R1 and R2's room, and also the admission agreement for R1 and R2. The investigation revealed the following: in regards to the allegation "Staff have not fixed resident's showers," it is alleged that the Maintenance Department had taken six months to fix the leRead the full finding— CDSS inspection report, August 11, 2023 · control 28-AS-20230113110457

On 6/29/23 at 8:32 a.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced complaint visit to the facility. Upon arrival LPA met with (S1) and explained the purpose of the visit. The General Manager Sherry Fischer arrived at 8:50 and joined the visit. During today’s visit LPA toured the facility with the General Manager. LPA obtained resident roster, staff roster, resident council by laws, resident council memo, Resident council flyers, resident council correspondence with the General Manager, Admissions agreement page 13, and plan of operation (operations policy guide). LPA also interviewed: Administrator and a total of two (2) staff who shall be referred to as S1, and S2. LPA interviewed a total of 10 residents who shall be referred to as: R1 through R10. Report continued 9099c UnsubstantiatedRead the full finding— CDSS inspection report, June 29, 2023 · control 28-AS-20230622164039

Licensing Program Analyst (LPA) Kruz Long conducted a complaint investigation at the facility. Upon arrival, LPA met with Sherry Fischer (Administrator) and explained the purpose of the visit. During today's visit, LPA obtained a copy of the Staff/Resident rosters, Resident #1's Physician report and Capability Evaluation, interviewed Staff #1 in the conference room and attempted to interviewed Resident #1 (R#1) and Resident #2 (R#2). In regards to the allegation: Resident is financially abusing another resident in care. LPA reviewed R#1's Physician report which indicate R#1 is able to manage own cash resources. A review of R#1's Capability Evaluation indicate R#1 has no impairments in regards to making own decisions. Interview with Staff #1 indicate R#1 is capable of handling R#1's finances and is not aware if R#1 is a victim of financial abuse. Interviews with R#1's family members indicate there is no proof of financial abuse but suspect potential future financial abuse. Continue to LRead the full finding— CDSS inspection report, December 27, 2022 · control 28-AS-20221220102958