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Inspection visit

Follow-up on corrections

WESTCHESTER HOME ON SPRUCE, THELicense 1572091912 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 12/11/24, Licensing Program Analyst (LPA) M. Yang arrived to conduct an unannounced subsequent complaint investigation and met with Administrator Sundae Hill. During the course of the complaint investigation, interviews were conducted and residents’ medications were checked. Centrally Stored Medication Record and Medications Administration Record (MAR) was reviewed. Technical Support Program (TSP) assistance was offered to Administrator. Administrator will make a decision and reach out the department regarding acceptance. Deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6. An exit interview was conducted. A copy of this report and appeal rights were provided to 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(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.

  • 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.

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 an other inspection of WESTCHESTER HOME ON SPRUCE, THE on December 11, 2024. 2 citations were issued: 1 Type A (serious) and 1 Type B.

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

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "87465(h)(5) Each resident's medication shall be stored in its originally received container. No medications shall be tr..."

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

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.