Discovery Commons Whittier

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Due to neglect, resident sustained wounds Staff are not ensuring residents hygiene needs are met Staff did not provide timely medical care for resident

Licensing Program Analyst (LPA) Glenn Trueman made an unannounced visit to the facility and was greeted by Frances Reyes and explained the reason for the visit. The purpose of the visit is to deliver findings from the original complaint dated 12/18/2024. The initial visit was a Health and Safety Check conducted on 12/19/2024 and included the following: LPA conducted a tour of the facility, including food supply, resident rooms, bathrooms, and common areas. The kitchen had sufficient perishable and non-perishable food. Resident rooms and common areas were properly furnished. LPA did not observe any immediate health and safety risks on today's visit. LPA observed the water temperature measured between 105* F - 120* F, the facility temperature was comfortable for the residents, and electricity was operational. LPA requested and obtained copies of staff and resident roster along with additional pertinent documentation. Investigation was conducted by the Investigations Branch (IB) and complthe state’s words, verbatim · CDSS document, Apr 17, 2025 · control 28-AS-20241218082122

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Resident developed pressure wounds while in care. Facility is neglecting resident's care. Facility failed to provide timely medical attention to resident in care.

***The licensing report created on 07/26/2024 is being superseded by this licensing report dated 10/01/2024. The licensing report is being superseded due to missing required information relating to the LIC 9099.*** On 10/1/2024 Licensing Program Analyst (LPA) Jewel Baptiste conducted and unannounced visit to interview additional residents. The findings will remain the same and the citations issued during the visit dated 7/26/2024 is still valid. LPA met with Executive Director Joshua Castillo and explained the reason for the visit. During todays visit LPA Baptiste obtained a copy of the staff and resident roster and conducted interviews for residents #4 through Residents #7 (R4-R7). During the prior visit dated 7/26/2024 Licensing Program Analyst (LPA) Angelica Rea made another visit to issue the final results of the investigation. LPA met with Mr. Castillo, who assisted with today's visit. Report Continued on 9099c Substantiatedthe state’s words, verbatim · CDSS document, Oct 1, 2024 · control 28-AS-20230120113757

Allegation investigated: Resident developed pressure wounds while in care. Facility is neglecting resident's care. Facility failed to provide timely medical attention to resident in care.

Licensing Program Analyst (LPA) Angelica Rea made another visit to issue the final results of the investigation. LPA met with Mr. Castillo, who assisted with today's visit. Regarding the allegation that : Resident developed pressure wounds while 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. Hospital records show that resident #1 was admitted to the hospital on 12/5/22 due to a fall, and did not have any pressure injuries. Resident #1 was re-admitted to the hospital on 1/16/23 and was diagnosed 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. Per facility documentation provided, on 1/10/23, the pressure injuries on resident #1 were noted. Resident #1's family member stated that they were permitted and relied upon to perform wound care from 1/11/23-1/15/23 at the facilitthe state’s words, verbatim · CDSS document, Jul 26, 2024 · control 28-AS-20230120113757

Allegation investigated: Uncleared staff caring for residents in care. Staff do not meet required qualifications. Staff do not address pest infestation. Staff do not address rodent infestation. Staff do not ensure facility is free of disturbances.

Licensing Program Analyst (LPA) Angelica Rea conducted another visit in response to the above allegations. LPA met with Administrator, Joshua Castillo who assisted with the visit. Regarding the allegation that there are : Uncleared staff caring for residents in care. The investigation consisted of interviews with Administrator, staff #1 - staff #7, resident #1 - resident #6, and review of staff files, facility staff roster and facility staff clearance documents. Administrator and staff interviewed were unable to corroborate the allegation. Eight out of eight staff interviewed stated that there are no uncleared staff caring for residents in care. Residents interviewed were unable to corroborate the allegation. SIx out of six residents interviewed stated that they do not know if there are uncleared staff caring for residents in care. LPA review of staff clearance documents, indicate that there are no uncleared staff caring for residents in care. Regarding the allegation that : Staff do nthe state’s words, verbatim · CDSS document, May 6, 2024 · control 28-AS-20230321160829

Allegation investigated: Lack of staff resulting in residents not being administered their medication(s) as prescribed.

Licensing Program Analyst (LPA) Angelica Rea conducted another visit to deliver the final results of the investigation. LPA met with Administrator, Joshua Castillo, who assisted with today's visit. **The purpose of the visit is to remove confidential information listed on the report dated 3/22/24, however, the finding will remain the same** Regarding the allegation that : Lack of staff resulting in residents not being administered their medication(s) as prescribed. The investigation consisted of interviews with Administrator, staff #1 - staff #4, and resident #1- resident #5. LPA also reviewed resident #6's medication administration record. The investigation revealed the following : Administrator stated that a medication technician from a staffing agency was due to come in to work on 1/14/24. However, the medication technician dropped the shift, and did not come to the facility. Administrator stated that resident #6 did receive their medication on 1/14/24, however it was given late. Suthe state’s words, verbatim · CDSS document, May 6, 2024 · control 28-AS-20240117100508

Allegation investigated: Resident sustained multiple unexplained bruises and scratches while in care.

Licensing Program Analyst (LPA) Angelica Rea conducted an unannounced complaint investigation regarding the above allegation. LPA met with Administrator, Joshua Castillo who assisted with the visit. Regarding the allegation that : Resident #1 sustained multiple unexplained bruises and scratches while in care. The investigation consisted of interviews with Administrator, Staff #1 - Staff #2, resident #1 - resident #4, and review of resident #1's file. LPA also obtained copies of specific documents from resident #1's file. The investigation revealed the following : Administrator and staff interviewed stated that on 4/14/24, staff #3 observed that resident #1 had a bruise on her left arm during a safety check. Staff interviewed stated that the family was notified and a special incident report was submitted to community care licensing as required. Staff interviewed were unable to corroborate the allegation. Three out of three staff interviewed stated that they have not observed anything ththe state’s words, verbatim · CDSS document, Apr 23, 2024 · control 28-AS-20240417102216

Allegation investigated: Staff do not respond to requests for communication regarding resident in a timely manner. Administrator is not on the facility premises a sufficient number of hours as required.

Licensing Program Analyst (LPA) Angelica Rea conducted another visit to deliver the final results of the investigation. LPA met with Administrator, Joshua Castillo who assisted with today's visit. Regarding the allegation that : Staff do not respond to requests for communication regarding resident in a timely manner. The investigation consisted of interviews with Administrator, staff #1 - staff #4, and resident #1- resident #5. Staff interviewed denied the allegation. Five out of five staff interviewed stated that staff do respond to requests for communication in a timely manner. Residents interviewed were unable to corroborate the allegation. Five out of five residents interviewed stated that the staff do respond to requests for communication in a timely manner, and that they have not had any problems with communication. Regarding the allegation that : Administrator is not on the facility premises a sufficient number of hours as required. The investigation consisted of interviews withthe state’s words, verbatim · CDSS document, Mar 22, 2024 · control 28-AS-20240117100508

Allegation investigated: Facility has scabies outbreak

Licensing Program Analyst (LPA) Angelica Rea conducted another visit to deliver the final results of the investigation. LPA met with Administrator, Joshua Castillo, who assisted with today's visit. Regarding the allegation that: the facility has a scabies outbreak. The investigation consisted of interviews with Administrator, Hospice Nurse Director, and Los Angeles County Department of Public Health (LACDPH) Nurse. LPA also reviewed resident #1- resident #4 files, including Medication Administration Records. Administrator stated that there were some residents in memory care that had complaints of itching. He stated that the residents were not diagnosed with scabies, however they were prescribed with medication to treat their skin condition(s). LPA reviewed 4 resident files, and observed that 4 memory care residents were being treated for a skin condition, consistent with scabies. Interview with Hospice Nurse Director indicated that sometimes they do not do skin scraping on hospice resithe state’s words, verbatim · CDSS document, Jan 23, 2024 · control 28-AS-20231011155531

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Resident sustained unexplained injuries while in care and supervision of the facility Staff failed to maintain facility clean and sanitary for resident in care Facility has insufficient staffing to meet residents needs. Facility did not conduct reappraisal for resident as needed

Licensing Program Analyst (LPA) Angelica Rea conducted an unannounced visit to deliver the final results of the investigation. LPA met with Administrator, Joshua Castillo who assisted with today's visit. Regarding the allegation that : Resident #1 sustained unexplained injuries while in care and supervision of the facility. The investigation consisted of review of resident #1's file, interviews with Administrator, and staff #1 - staff #4. The investigation revealed : Resident #1 lived at the facility from 2/25/23 to 3/22/23. Administrator and staff interviewed were not aware of any unexplained injuries sustained by resident #1. Review of resident #1's flie, indicates that resident #1 was taking medication that can cause bruising. Regarding the allegation that : Staff failed to maintain facility clean and sanitary for resident in care. The investigation consisted of tour of facility, including common areas, and resident rooms in assisted living and in memory care, and interviews with Adthe state’s words, verbatim · CDSS document, Nov 27, 2023 · control 28-AS-20230511155149

Allegation investigated: Resident developed multiple pressure injuries due to neglect by staff resulting in death Facility staff did not seek timely medical attention for resident's pressure injuries Facility staff hit resident resulting in bruising Facility staff did not provide resident with linens in good condition

Licensing Program Analyst (LPA) Angelica Rea conducted an unannounced visit to deliver the final results of the investigation. LPA met with Administrator, Joshua Castillo who assisted with today's visit. Regarding the allegation that : Resident developed multiple pressure injuries due to neglect by staff resulting in death. The investigation was conducted by the department and consisted of review of resident #1's file, including home health records, interviews with facility staff, and medical personnel who provided care to resident #1. Investigation revealed that resident #1 lived at the facility from 2/25/23 to 3/22/23. The investigation revealed that there was contradicting information regarding the stage of the resident #1 wound(s). Resident #1's home health records indicate that resident #1 had no pressure injuries when discharged from home health on 3/22/23. Health insurance records indicate that resident #1 had a stage 3 wound the day before transferring out of the facility. Howethe state’s words, verbatim · CDSS document, Sep 8, 2023 · control 28-AS-20230411160700