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32 | Personnel records and resident’s records are stored at the facility in a locked cabinet in the kitchen area. The floor includes kitchen, living room area, family room, bedrooms including staff room, shower bathroom, dining room, and garage. Resident's bedrooms have all required lighting & appropriate furnishings as per Title 22 Regulations. Activities are available for residents as per licensee/administrator. Resident records, medication will be locked on this level in a medication cart, toxins are kept locked in a designated cabinet in the garage; facility has first aid kit. The floor will also consist of a laundry room. There is outdoor space for activities.
A virtual review of six resident & two staff records was conducted. LPAs reviewed resident’s files and learned that 6 of 6 residents have an updated physician’s assessment – LIC 602 and cleared TB test results. Medications were not reviewed at this time due to visit being conducted virtually. Licensee/administrator understands that all medications must have a doctor’s order and medication must match the order. As per licensee/administrator all medication has a doctor’s order. LPAs reviewed a sample of staff records and learned that all facility staff and other individuals who require caregiver background checks have received criminal record clearances or exemptions under the facility that is licensed at this time. In addition, sample review of staff file shows that Direct care staff additional training requirements are on file. LPAs were presented with proof of CPR & 1st Aid certification for sample staff files that were reviewed virtually. Disaster Drills are conducted quarterly, and last drill dated 11/2/2020.
Facility needs to have an approved Hospice Waiver to be licensed.
No deficiencies cited during this inspection. |