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Inspection visit

Complaint

WESTCHESTER HOME ON SPRUCE, THELicense 1572091911 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 12/11/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct subsequent complaint investigation on the above allegation. LPA introduced self, stated the purpose of the visit and requested to meet with Administrator. LPA met with staff Anne Neri and staff Jacqueline tucker. Administrator Sundae Hill was called and arrived shortly. Complaint findings were delivered to Administrator. During the course of the investigation, residents’ medications were audit and MARs were reviewed, medications audit showed staff did not administered the residents’ medications as directed by physician. Based on observation, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, Chapter 6 are being cited on the attached LIC 9099D. An exit interview was conducted. A copy of this report and appeal rights were provided to the Administrator, whose signature on this form confirms receipt of this report.

Citations

3 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.

  • 87465(c)(2)Type A

    Give PRN medication by physician order

    87465(c)(2) Once ordered by the physician the medication is given according to the physician's directions.This requirement was not met as evidenced by: Based on observation, records reviewed, and interview conducted, residents’ medications were checked, and medications were observed not administered as directed by physician by staff, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87465(h)(5)Type A

    Keep prescriptions in original containers

    87465(h)(5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers.This requirement was not met as evidenced by: Based on observation, LPA checked R1’s medication with Administrator present. LPA observed in R1’s Furosemide 20 mg medication bottle, 5 capsule that were different size stored in with the Furosemide tablets which poses an immediate health, safety or personal rights risk to persons in care.

  • 87465(h)(6)Type B

    Record centrally stored prescriptions and refill data

    87465(h)(6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year.This requirement was not met as evidenced by: Based on interviews conducted and records reviewed, there are no Centrally Stored Medication Record (Lic 622) on file for all four residents, which poses/ posed a potential health, safety, or personal rights risk for the person in care.

FAQ · About this visit

Common questions about this visit

What happened during the December 11, 2024 inspection of WESTCHESTER HOME ON SPRUCE, THE?

This was a complaint inspection of WESTCHESTER HOME ON SPRUCE, THE on December 11, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to WESTCHESTER HOME ON SPRUCE, THE on December 11, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87465(c)(2) Once ordered by the physician the medication is given according to the physician's directions.This requireme..."

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.