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Inspection visit

complaint

PEARL OF WEST HILLS, INCLicense 1976098895 citations on this visit
5 citations recorded

Inspector’s narrative

What the inspector wrote

Staff does not allow resident's to leave the facility It is alleged that residents are not allowed to leave the facility without permission. Interviews were conducted with residents and staff from approximately 10:20-11:20am. Interviews revealed that residents didn't feel they were able to leave the facility without permission from staff or unless they were supervised by staff. Interviews revealed that some residents do not require supervision to be outside of the facility independently. Based on the information obtained through interviews this allegation is deemed Substantiated at this time. Staff confiscated resident's clothing It is alleged that the administrator confiscated R1's clothing so they could not leave the facility. Interviews were conducted with the administrator regarding this allegation. Administrator stated that anytime R1 would wear clothes they would leave the facility and that due to R1's health condition their safety was in jeopardy. R1 was kept in a hospital gown or diaper while in the facility which was witnessed by visitors to the facility. Based on the information obtained through interviews this allegation is deemed Substantiated at this time. Facility does not have planned activities It is alleged that the facility does not have planned activities. LPA's conducted interviews with residents and facility staff from approximately 10:20-11:20am. Interviews with residents and the administrator reveal that the facility does not have planned activities for the residents. There are some board games or television for residents to partake in but nothing planned. Based on the information obtained through interviews this allegation is deemed Substantiated. Staff are not following COVID protocol It is alleged that the staff are not checking all visitors temperatures when they visit the facility to check for signs of covid. LPA's conducted interviews with facility staff regarding this allegation. Facility staff admitted to on a few occasions on not checking a visitors temperature when they came to the facility to check on residents. During today's visit LPA's temperatures were checked before starting the visit. Based on the information obtained through interviews this allegation is deemed Substantiated at this time. All deficiencies cited on LIC 9099 D. Appeal Rights explained, Exit Interview conducted. Staff are not able to communicate with residents It is alleged that facility has staff that are not able to communicate with residents. LPA's conducted interviews with residents and staff from approximately 10:20-11:20am. Interviews revealed that staff #2(S2) does not speak English well but S2 always works with another staff who is able to communicate in English. Information from interviews reveal that on each shift there is a staff that is able to communicate in English. Based on the information obtained this allegation is deemed Unsubstantiated at this time. Facility does not have a poster displaying information on the appropriate reporting agency It is alleged that the facility was provided a Long Term Care Ombudsman poster on 9/20/21 but that it has not been posted in the facility. During the physical plant tour done today LPA's observed the Long Term Care Ombudsman poster to be posted by the entry to the facility. Interview with the administrator revealed that it had been posted as soon as it was provided by the Long Term Care Ombudsman. Based on information obtained through observation this allegation is deemed Unsubstantiated at this time. Exit interview conducted.

Citations

5 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.

  • 87219(a)Type B

    Planned Activities-Residents shall be encouraged to maintain and develop their fullest potential for independent living through participation in planned activities.This requirement was not met as evidenced by: Based on interviews conducted facility does not have any planned activities for residents.

  • 87468.1(a)(1)Type B

    Personal Rights of Residents in All Facilities-To be accorded dignity in their personal relationships with staff, residents, and other persons.This requirement was not met as evidenced by: Based on interviews conducted it was revealed that R1 was yelled at by the facility administrator which posed a personal rights violation to residents in care.

  • 87468.1(a)(12)Type B

    Personal Rights of Residents in All Facilities-To wear their own clothes; to keep and use their own personal possessions.This requirement was not met as evidenced by: Based on interviews conducted it was observed and admitted to by the administrator that R1 was not able to wear or have access to their own clothes which is a violation of residents personal rights.

  • 87468.1(a)(6)Type B

    Personal Rights of Residents in All Facilities-To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night.This requirement was not met as evidenced by: Based on interviews conducted residents were not able to leave the facility at anytime. This poses a potential personal rights violation to residents in care.

  • 87468.2(a)(2)Type A

    Personal Rights of Residents in All Facilities-To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.This requirement was not met as evidenced by: Based on interviews conducted staff were not checking all visitors temperatures upon entry to the facility which poses an immediate health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the October 21, 2021 inspection of PEARL OF WEST HILLS, INC?

This was a complaint inspection of PEARL OF WEST HILLS, INC on October 21, 2021. 5 citations were issued: 1 Type A (serious) and 4 Type B.

Were any citations issued to PEARL OF WEST HILLS, INC on October 21, 2021?

Yes, 5 citations were issued (1 Type A, 4 Type B). The first citation was for: "Planned Activities-Residents shall be encouraged to maintain and develop their fullest potential for independent living ..."

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.