1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32 | Fire extinguisher located in the kitchen was observed and were last inspected on 6/18/2024. Smoke and carbon monoxide detectors were observed and found to be working during this visit. LPA observed centrally stored medications, toxins, and sharp objects were kept locked and inaccessible to residents in care. No bodies of water was observed at this time. Facility does not have a fireplace and bodies of water at this time.
During an inspection of the garage with S1, LPA observed a bed equipped with beddings, beside table with perfume, deodorant, vasaline and other items on top of the table, an electric fan next to the bed, a sofa at the foot of the bed, and reclining chair. Also clothes on a table were observed. Per interview with S1, she is a live-in staff and confirmed she sleeps in the garage.
Outdoor area was inspected. Facility has one exit gate. One of the gate is in need of repair as evidenced by the door is dragging at the bottom. Debris and old furniture were observed at the right side of the house. Per discussion with Administrator, they plan to discard these items. Also during the outdoor inspection, LPA observed the two sheds were unlocked. LPA observed inside 1 of 2 sheds to contain gardening tools, jars containing screws, old wheelchairs, old walkers, and other miscellaneous items; these were accessible to residents in care. Also, observed inside 1 of 2 sheds were vermin droppings on a shelf. However, LPA did not observed any evidence of vermin droppings inside the facility during this visit. Advisory was provided to address the presence of vermin and that can potentially affect the inside of the facility. Also during the outdoor inspection, LPA observed 2 pain cans at the side of the house. Administrator discarded the 2 paint cans.
Review of 4 resident files (R1, R2, R3 R4) include review of Admission Agreement, Physician Reports, Needs and Services Plan, Centrally Stored Medication Record and Ambulatory Status. Advisory was provided to ensure each resident have PRN authorization letter signed by their physician on file.
Review of 3 staff files (S1, S2, and S3) include review of background clearance, First Aid/CPR certificate, Health Screen, Initial and Ongoing Training. Administrator Certificate is current. Through review of Guardian and LIS, S1 is not associated to this facility. Through staff record review, S1 has her fingerprint from Department of Justice (DOJ) on file. During this visit, Administrator removed S1 from the facility until S1 is officially associate to this facility. Later during the visit, S1 was able to be associated to this facility.
{2 of 3} |