Discovery Commons Whittier

Based on observation R2 had direct access to over the counter medication, the licensee did not comply with the section cited above in 1 out of 1 resident which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, LPA Ramirez did not observe poster in main entry or anywhere else in the facility.the licensee did not comply with the section cited above in 68 out of 68 residents which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, R5 bathroom cabinet was unlocked and R5 had direct access to personal grooming and hygiene items, the licensee did not comply with the section cited above in 1 out of 1 resident, which poses an immediate health, safety or personal rights risk to persons in care.

(a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly: (1) Stage 3 and 4 pressure injuries. This requirement was not being met as evidenced by : Resident #1 was admitted to the hospital on 1/16/23 with an unstageable pressure injury on his right hip, a deep tissue injury on his right hip, and an unstageable pressure injury on his right foot.This poses an immediate health, safety, or personal rights risk to persons in care.

A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not being met as evidenced by : Resident #1 was diagnosed with a staphylococcus (staph) infection in his mouth, upon hospital admittance on 1/16/23.This poses an immediate health, safety, or personal rights risk to persons in care.

The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This requirement was not being met as evidenced by : resident #1 was admitted to hospital on 1/16/23, and diagnosed with severe malnutrion. It is documented that resident #1 lost sixteen lbs between 12/5/22, and 1/16/23.This poses an immediate health, safety, or personal rights risk to persons in care.

(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights:4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs This requirement was not being met as evidenced by : resident #1 was admitted to hospital on 1/16/23, with severe sepsis with acute organ dysfunction, pneumonia, hypernatremia, severe protein calorie malnutrition. and several pressure injuries.This poses a an immediate health, safety, or personal rights risk to persons in care.

(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not being met as evidenced : LPA Rea learned that Resident #6 prescribed medication OLANZAPINE F/C 2.5MG TABLET which is to be administered every day at 4:00pm was not given as prescribed. This poses a health and safety risk to residents in care.

(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not being met as evidenced : LPA Rea learned that Resident #6 prescribed medication OLANZAPINE F/C 2.5MG TABLET which is to be administered every day at 4:00pm was not given as prescribed. This poses a health and safety risk to residents in care.

(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (2) Occurrences, such as epidemic outbreaks, poisonings, catastrophes or major accidents which threaten the welfare, safety or health of residents, personnel or visitors, shall be reported within 24 hours either by telephone or facsimile to the licensing agency and to the local health officer when appropriate. This requirement is not being met as evidenced by: Administrator did not submit a special incident report to Community Care Licensing indicating the facility had a scabies outbreak.

Based on record review, the licensee did not comply with the section cited above in 4 out of 4 staff files reviewed, which poses/posed a potential health, safety or personal rights risk to persons in care.

For any rate increase due to a change in the level of care of the resident, the licensee shall provide the resident and the resident’s representative, if any, written notice of the rate increase within two business days after initially providing services at the new level of care. The notice shall include a detailed explanation of the additional services to be provided at the new level of care and an accompanying itemization of the charges. This requirement is not being met as evidenced by : LPA observed that Resident #1's rate was increased on April 1, 2023, andresident #1's family member was not provided a written notification of a rate increase due to a change in resident #'1s condition.

(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement is not met as evidenced by:Administrator failed to report 3 covid positive resident(s) to Community Care Licensing as required, which poses a health and safety risk to residents in care.