Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
01/13/2023
Section Cited
| 1
2
3
4
5
6
7 | 87307 Personal Accommodations and Services (a) Living accommodations and grounds shall be ... (1) sufficient space and/or separation to promote and facilitate the program of activities and to prevent such activities from interfering with other functions.
This requiremetn is not met as evidenced by: | 1
2
3
4
5
6
7 | Licensee agreed to remove the bed in the recreation room to accomodate resident needs. |
 | 8
9
10
11
12
13
14 | Based on observations, the licensee did not comply with the section cited above in 1 out of 9 rooms which poses a potential Health, Safety, or Personal Rights risk to persons in care. | 8
9
10
11
12
13
14 |  |
Type B
01/13/2023
Section Cited
| 1
2
3
4
5
6
7 | 87407 Administrator Recertification Requirements (k) Whenever a certified administrator... relinquishes responsibility... he or she shall provide written notice, within thirty (30) days, to: (1) The local licensing office
This requirement was not met as evidenced by: | 1
2
3
4
5
6
7 | The licensee agreed to send in change of administrator paperwork by the POC due date. |
 | 8
9
10
11
12
13
14 | Based on interviews, the licensee did not comply with the section cited above in 1 out of 1 employees which poses a potential Health, Safety, or Personal Rights risk to persons in care. | 8
9
10
11
12
13
14 |  |