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Inspection visit

Routine inspection (multi-day)

CALLIGRAPHY WESTWOOD VILLAGELicense 1983201277 citations on this visit
7 citations recorded

Inspector’s narrative

What the inspector wrote

This report serves as an amendment to condense the narrative, and remove narrative regarding concerns of window screens. It does not supersedes the report written by Licensing Program Analyst (LPA) David España who conducted a Case Management – Annual Continuation visit at Watermark at Westwood Village. On 04/11/2023 LPA España, met with Administrator Olga Kirskey, and explained that the purpose of today's visit is to complete the facility annual inspection conducted on 03/28/2023 and 03/29/2023. A review of the physical plant, facility records, staff records and resident's records were conducted during the said visits. The facility has 188- living units, 225 bathrooms, 14 stories with underground parking. On the first floor, the facility has a full kitchen, dining area, lobby, conference room space, restrooms, reception area, 3 elevators and a sitting area with an enclosed fireplace. There is also a large outdoor patio with a fireplace and seating. On the second floor, there is a salon and fitness center, storage space and administrative office space. The third floor consist of residential space for individuals that need support with memory care. Which includes 18 apartments, a dining space with patio and some office space. Floors four to seven consist of residential space for assisted living. Floors eight to fourteen consist of units for independent living. The units are spacious and will easily accommodate furnishings. There are no open bodies of water on the premises. Building is equipped with a backup generator on-site. Facility has a full sprinkler system. Deficiencies were observed during today’s visit and the visits conducted on 03/28/2023 and 03/29/2023: LPA and staff observed the following: exposed walls clearly visible with holes and no posted signs were observed of work being conducted in fire escape/stairway on ALL 14 floors, a machine blocking the emergency exit door in the Memory Care Unit stairwell, a watermark van non-operational were parked in front of the gate entrance to parking garage, knifes and cleaning solution chemicals in the kitchen area were observed, LPA did not observe CPR training for 3 staff, LPA did not observe educational verification for staff, LPA observed expired and out dated food, LPA did not observe a record of dosages of medications maintained by the facility. An exit interview was conducted, and plans of corrections were developed. A copy of this report and appeals rights were provided. This report serves as an amendment to condense the narrative. It does not supersedes the report written by Licensing Program Analyst (LPA) David España conducted a Case Management – Annual Continuation visit at Watermark at Westwood Village. This page is left blank intentionally. This report serves as an amendment to condense the narrative. It does not supersedes the report written by Licensing Program Analyst (LPA) David España conducted a Case Management – Annual Continuation visit at Watermark at Westwood Village. This page is left blank intentionally. This report serves as an amendment to condense the narrative. It does not supersedes the report written by Licensing Program Analyst (LPA) David España conducted a Case Management – Annual Continuation visit at Watermark at Westwood Village. This page is left blank intentionally This report serves as an amendment to condense the narrative. It does not supersedes the report written by Licensing Program Analyst (LPA) David España conducted a Case Management – Annual Continuation visit at Watermark at Westwood Village. This page is left blank intentionally. This report serves as an amendment to condense the narrative. It does not supersedes the report written by Licensing Program Analyst (LPA) David España conducted a Case Management – Annual Continuation visit at Watermark at Westwood Village. This page is left blank intentionally. This report serves as an amendment to condense the narrative. It does not supersedes the report written by Licensing Program Analyst (LPA) David España conducted a Case Management – Annual Continuation visit at Watermark at Westwood Village. This page is left blank intentionally.

Citations

7 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.

  • Hazardous areas restricted from residents

    Based on observation, interview, record review, the licensee did not comply with the section cited above. LPA and staff when entering memory care on the 3rd floor noticed a machine blocking emergency exit door. LPA and staff did observe no lights in one fire escape/stairway, and water that obstructed the 14 floors of stairway. LPA observed exposed walls clearly visible with holes. No posted signs were observed of work being conducted in fire escape/stairway on ALL 14 floors. LPA detected 14 floors of exposed walls in the fire escape/stairway, which poses an immediate health, safety or personal rights risk to persons in care.

  • Passageways and stairways kept clear

    Based on observation, interview, record review, the licensee did not comply with the section cited above. LPA and staff observed a watermark van non-operational, and parked in front of the gate entrance to parking garage, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87309(a)Type B

    Ensure hazardous items are locked and not unattended

    Based on observation, interview, record review, the licensee did not comply with the section cited above. At 10:37AM LPA toured the facility with administrator S1 and S2 to include the kitchen area, LPA did observe knifes left on the counter box, and did find violations of Title 22 regulations regarding unlocked knifes which are meant to be kept in locked drawers. Additionally, LPA observed chemicals that were not stored or kept under lock drawers. LPA interviewed S2 about staff and chemicals and unlocked knifes, S2 stated he addressed the concern that very moment when observed and made corrections, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.618(c)(3)Type B

    Based on observation, interview, record review, the licensee did not comply with the section cited above. LPA observed no CPR training for staff, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • Food quality controls and rejected damaged goods

    Based on observation, interview, record review, the licensee did not comply with the section cited above. LPA and staff did observed the facility perishable and nonperishable food supply. Licensee and staff stated they did not have any expired or out dated food. LPA did observe expired and/or out dated food, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • Maintain records of centrally stored medication dosages

    Based on observation, interview, record review, the licensee did not comply with the section cited above. LPA observed that follwoing R01 centrally stored medication log stated R01 should take a specific medication on a specific date, however, centrally stored medication did not correspond to specific dates observed on 03/28/23, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87412(a)(6)(A)Type B

    Based on observation, interview, record review, the licensee did not comply with the section cited above. LPA did not observe educational verification for a number of staff, which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 11, 2023 inspection of CALLIGRAPHY WESTWOOD VILLAGE?

This was an other inspection of CALLIGRAPHY WESTWOOD VILLAGE on April 11, 2023. 7 citations were issued: 1 Type A (serious) and 6 Type B.

Were any citations issued to CALLIGRAPHY WESTWOOD VILLAGE on April 11, 2023?

Yes, 7 citations were issued (1 Type A, 6 Type B). The first citation was for: "Based on observation, interview, record review, the licensee did not comply with the section cited above. LPA and staff..."

What type of inspection was this?

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

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