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Inspection visit

complaint

COMMONS ON THORNTON, THELicense 3927003681 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Kesha Lewis arrived at the facility unannounced deliver findings for the allegation listed above. LPA was greeted by Executive Director and explained the reason for the visit. Allegation: Staff are not safe guarding resident's personal items. After reviewing docutmatuion and interviews with residents and staff regarding the allegation LPA Lewis finds the complaint to be unsubstantiated. The facility was able to provide detailed information and show written policy about what is to be done in the even there was a theft at the facility. LPA finds the facility followed the policy in the incidents of theft. Therefore, this complaint is UNSUBSTANTIATED. A finding that a complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Exit interview conducted. copy of report given.

Citations

2 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.

  • 87211(a)(1)(d)Type B

    D)Reporting Requirements: 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; This regulation was not met as evidence by: The licensee did not ensure that the facility provided a written report to licensing for the mutaple thefts at the facility. This poses a potential risk to residents in care.

  • 87464(f)(1)(c)Type A

    Basic Services (c) "Care and supervision" means the facility assumes responsibility for, or provides... assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered. Assistance includes ...personal care. This requirement was not met as evidenced by: based on interview with Executive Director facility staff took R1 on a shopping trip in which they witnessed them buy the medication. This poses an immediate health and safety risk to resident.

FAQ · About this visit

Common questions about this visit

What happened during the May 17, 2023 inspection of COMMONS ON THORNTON, THE?

This was a complaint inspection of COMMONS ON THORNTON, THE on May 17, 2023. 1 citation were issued: 1 Type B.

Were any citations issued to COMMONS ON THORNTON, THE on May 17, 2023?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "D)Reporting Requirements: A written report shall be submitted to the licensing agency and to the person responsible for ..."

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.