DISCOVERY COMMONS WHITTIER

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Deficient Practice Statement 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.

Official plan of correction

POC Due Date: 11/17/2025 Plan of Correction Administrator will submit plan that will address when staff re-training will be completed on reg 87309(a). Training must be completed by 11/24/25 and proof must be emailed to LPA Ramirez.

Official classification

Type A

Official code

87309(b)

Regulation authority

CCR

What the official deficiency says

(b) Residents may have access to items specified in subsection (a) for personal use unless there is documentation, as specified in Section 87457, Pre-Admission Appraisal or Section 87463, Reappraisals, that indicates the resident's or other residents’ safety would be at risk if allowed access. This requirement is not met as evidenced by: Deficient Practice Statement 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.

Official plan of correction

POC Due Date: 11/17/2025 Plan of Correction Administrator will submit plan that will address when staff re-training will be completed on reg 87309(b). Training must be completed by 11/24/25 and proof must be emailed to LPA Ramirez.

Official classification

Type B

Official code

87468(c)(2)(A)

Regulation authority

CCR

What the official deficiency says

(c) Licensees shall prominently post personal rights, nondiscrimination notice, and complaint information in areas accessible to residents, representatives, and the public. (2) Information on the appropriate reporting agency in case of a complaint or emergency, including procedures for filing confidential complaints, shall be posted as follows: (A) Licensees may use the Residential Care Facility for the Elderly (RCFE) Complaint Poster (PUB 475) or may develop their own poster as provided in this section. A poster developed by the licensee shall contain the same content as the PUB 475. The poster that is posted shall be 20” x 26” in size and be posted in the main entryway of the facility. PUB 475 may be accessed, downloaded, and printed from the www.ccld.ca.gov website. This requirement is not met as evidenced by: Deficient Practice Statement 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.

Official plan of correction

POC Due Date: 11/28/2025 Plan of Correction Administrator will send picture of poster in main entrance.

Official classification

Type B

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

This requirement is not met as evidenced by: LPA observed that staff #1-staff #4 did not have first aid cards in their files. Deficient Practice Statement 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.

Official plan of correction

POC Due Date: 01/12/2024 Plan of Correction Administrator will comply with Title 22 regulations, and will ensure that all staff have current first aid cards in their employee file, and will send proof to LPA by POC due date.

Official classification

Type B

Official code

87211(a)(1)(D)

Regulation authority

CCR

What the official deficiency says

(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.

Official plan of correction

Administrator will submit Special Incident Report(s) for Residents #1 - #3 to Community Care Licensing by POC due date, and will submit proof that report has also been made to the Department of Public Health. Administrator will review Section 87211 and will send written statement stating that the section was read and is understood.

Deadline recorded: Jan 17, 2023. A deadline is not proof that correction was completed.