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Inspection visit

complaint

DISCOVERY COMMONS WHITTIERLicense 1986032224 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

Regarding the allegation that : Facility is neglecting resident's care. The investigation was conducted by the department, and consisted of of interviews, review of facility documentation, and review of resident #1 medical records. Per hospital records, upon admittance resident #1 had "oral cavity dryness, crusting, and debris" due to "poor oral intake and poor oral care at the facility". Resident #1 was diagnosed with a staphylococcus (staph) infection in his mouth. Additionally, hospital records show that staff neglect of resident #1, resulted in a weight loss of sixteen pounds within approximately six weeks. On 12/5/22, resident #1 was admitted to the hospital weighing 150 lbs. On 1/16/23, resident #1 was admitted to the hospital weighing 134 lbs. Per reports provided by the facility, dated 1/11/23, 1/12/23, 1/14/23, and 1/15/23, it was noted that resident #1 was unable to eat, chew, or swallow his food. Resident #1 was diagnosed with severe malnutrition upon admittance to hospital on 1/16/23. The investigation found sufficient evidence to show that the facility was neglecting resident #1's care. Regarding the allegation that : Facility failed to provide timely medical attention to resident in care. The investigation was conducted by the department, and consisted of of interviews, review of facility documentation, and review of resident #1 medical records. Upon being admitted to the hospital on 1/16/23, resident #1 was diagnosed with severe sepsis with acute organ dysfunction, pneumonia, hypernatremia, due to dehydration, severe protein calorie malnutrition, in addition to the unstageable pressure injury on his right hip, a deep tissue injury on his right hip, and an unstageable pressure injury on his right foot. The investigation found sufficient evidence to show that the facility failed to provide timely medical attention to resident #1. Based on interviews which were conducted with staff and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, Chapter 8, are being cited on the attached LIC 9099D. Immediate Civil Penalty will be issued in the amount of $500.00 The licensee was informed that a civil penalty might be assessed based on health and safety code 1569.49 (e) or (f). Exit interview conducted, and copy of report and appeal rights were provided.

Citations

4 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(a)(1)Type 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: (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.

  • 87466Type A

    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.

    Read full inspector narrative
  • 87468.2(a)(4)Type A

    (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.

  • 876615(a)(1)Type A

    (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.

FAQ · About this visit

Common questions about this visit

What happened during the July 26, 2024 inspection of DISCOVERY COMMONS WHITTIER?

This was a complaint inspection of DISCOVERY COMMONS WHITTIER on July 26, 2024. 4 citations were issued: 4 Type A (serious).

Were any citations issued to DISCOVERY COMMONS WHITTIER on July 26, 2024?

Yes, 4 citations were issued (4 Type A, 0 Type B). The first citation was for: "A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine med..."

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.