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Inspection visit

Incident investigation

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 to conduct a case management visit for an indent that occurred on 05/08/2023. LPA was greeted by Executive Director and explained the reason for the visit. LPA reviewed R1'S file and took copies of the Physician's Report (602), hospital discharge orders email to R1's Physician, fax to the Physician and the needs and service plan. R1 bought the medication on a shopping trip with facility staff (S1). the medication (Advil) bottle had a total of forty (40) pills when staff found R1 there was 28 of 40 pills left in the bottle R1 was holding 4 pills in their hand. The 4 pills are included in the 28. R1 told facility staff that they took 6 pills two (2) days later. Staff can't conform when pills were taken. Per R1's LPA interviewed Executive Director about the incident. It was conformed during interview that the medication was bought on a shopping trip with facility staff. Per California Code of Regulations, Title 22 deficiencies were observed or cited during today's case management inspection. See 809D page. An exit interview was conducted and a copy of this report was 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 other inspection of COMMONS ON THORNTON, THE on May 17, 2023. 1 citation were issued: 1 Type A (serious).

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

Yes, 1 citation was issued (1 Type A, 0 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 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.