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Inspection visit

Follow-up on corrections

PEARL OF WEST HILLS, INCLicense 1976098892 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Yelena Avetisyan conducted an unannounced Virtual Case Management Deficiencies visit due to deficiencies observed during the investigation of complaint control 31-AS-20210416135138 on 4/20/2021. Upon entrance to the facility LPA was greeted by 2 staff. At 3:35 pm LPA spoke with the licensee who stated that she would come to the facility shortly. Administrator arrived approximately 4:05 pm. LPA held a discussion Ms. Karbachinskiy regarding the status of her administrator certificate. Per Licensee she has not completed all the required classes and has not hired a certified administrator to oversee the facility. Prior to this visit LPA conducted a review of the licensing information system and obtained the names of all staff who are associated with the facility. Upon review of the records LPA observed that the 2 staff working at the facility are not associated with the facility. At 4:14 pm LPA called the Woodland Hills Regional office and clarified that staff 1 (S1) has criminal record clearance, however staff 2 (S2) does not have criminal record clearance. A discussion was held with the administrator regarding criminal record clearance requirements. Exit interview conducted, copy of report, citations, civil penalties and appeal rights issued.

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.

  • 87355(e)(2)Type A

    (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c) orThis requirement is not met as evidenced by: Based on record review the licensee did not comply with the section cited above by not transferring criminal record clearance for staff 1 (S1) to this facility prior to employment which poses an immediate health, safety or personal rights risk to persons in care.

  • 87406(g)Type A

    87406 Administrator Certification Requirements (g) Certificates issued under this section shall be renewed every two (2) years provided the certificate holder hascomplied with all renewal requirements.This requirement is not met as evidenced by: Based on review of records and interview with licensee which revealed the Licensees Administrator Certificate expired 08/08/2020 and the Administrator has not taken the required classes to renew the required Administrator Certificate which poses an immediate health, safety and personal rights risk to residents in care.

  • 87465(c)(2)Type A

    (c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff shall be permitted to assist the resident with self-administration, provided the following requirements are met: (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 medication review the licensee did not comply with the cited sections by not giving medications per the physicians directions which posed an immediate health, safety and personal rights risk to R1.

  • 87465(C3)(D3)Type A

    If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (3) A record of each dose is maintained in the resident's record. The record shall include the date & time the PRN medication was taken, the dosage taken, & the resident's response.This requirement was not met as evidenced by: Based on records review and interview the licensee did not comply with the cited sections by not documenting when PRN medications were administered to R1. Which posed an

  • 87465(e)Type A

    (e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician on a prescription blank, maintained in the resident's file, and a label on the medication. Both the physician's order and the label shall contain at least all of the following information. This requirement was not met as evidenced by: Based on hospital records review the licensee did not comply with the section cited above by not having a signed written order from a physician for the medication Geodon given to resident 1 which posed an immediate health, safety and personal rights risk to R1.

FAQ · About this visit

Common questions about this visit

What happened during the November 5, 2021 inspection of PEARL OF WEST HILLS, INC?

This was a other inspection of PEARL OF WEST HILLS, INC on November 5, 2021. 2 citations were issued: 2 Type A (serious).

Were any citations issued to PEARL OF WEST HILLS, INC on November 5, 2021?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prio..."

What type of inspection was this?

This was a 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.