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Inspection visit

Complaint

WINDHAM, THELicense 1072089302 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Interviews with staff revealed that a staff member was found in a facility bathroom eating desserts and snacks from a meal cart. The desserts and snacks were ordered for residents but consumed by the staff member. Per Administrator, the staff member received disciplinary action. Based on record reviews and interviews conducted, the preponderance of evidence standard has been met, therefore the allegations: Staff are mismanaging resident’s medications and staff steal resident’s food are found to be SUBSTANTIATED. Deficiencies are being cited in accordance to California Code of Regulations, Title 22, Division 6, see LIC9099D. An exit interview was conducted. A Plan of Correction was developed and reviewed with Administrator. A copy of this report and Appeal Right were discussed and will be provided to Administrator via email, due to COVID-19 precautionary measures. An electronic read receipt will confirm receiving these documents. Administrator was informed to select yes when prompted. Facility Representative signature on file. Based on interviews conducted with staff and residents, the allegations: Staff handled resident in a rough manner causing injury, staff yell at residents and staff did not safeguard resident’s personal items are UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. No deficiencies issued. An exit interview was conducted with Administrator. Due to COVID-19 precautionary measures, a copy of this report was provided via email and an electronic signature confirms receiving this document. Facility Representative signature on file.

Citations

4 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.

  • 87555(a)Type B

    Diet quality and preparation in safe healthful manner

    87555 General Food Service Requirements (a): The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents...All food shall be selected, stored, prepared and served in a safe and healthful manner. This requirement was not met as evidenced by: Based on interveiws and records review, Licensee did not ensure that all food was prepared and served in a safe manner, when the temperature of meals where out of range on several days, which poses a potential health and safety risk to persons in care.

  • 87555(b)(5)Type B

    87555 General Food Service Requirements (b)(5): Meals shall consist of an appropriate variety of foods and shall be planned with consideration for cultural and religious background and food habits of residents. This requirement was not met as evidenced by: Based on interviews, Licensee did not ensure residents received an appropriate variety of foods, which poses a potential health and safety risk to persons in care.

  • 87465(h)(5)Type B

    Keep prescriptions in original containers

    87465 Incidental Medical and Dental Care:(5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement is not met as evidenced by: Based on interviews: Licensee did not ensure medications are stored in it's original container, when a tylenol was found in place of a narcotic, which poses a potential health and safety risk to residents in care.

  • 87555(b)(3)Type B

    87555 General Food Service Requriements: (3) Between-meal nourishment or snacks shall be made available for all residents... This requirement was not met as evidenced by: Based on interviews. Licensee did not ensure snacks were made available to residents in care when a staff member was found eating snacks belonging to residents in the facility bathroom, which poses a potential health and safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the June 21, 2021 inspection of WINDHAM, THE?

This was a complaint inspection of WINDHAM, THE on June 21, 2021. 2 citations were issued: 2 Type B.

Were any citations issued to WINDHAM, THE on June 21, 2021?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "87555 General Food Service Requirements (a): The total daily diet shall be of the quality and in the quantity necessary ..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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