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25 | License Program Analyst (LPA) Lopez and Fernandes-Goes arrived unannounced to conduct a continuation annual inspection and non-compliance required visit of the facility that occurred on 11/23/2021. LPAs were welcomed by staff and Administrator Rhon Franco.
LPA's toured the facility on 11/23/21 and 12/2/21 and a sample of resident's files and a sample of staff were reviewed. As per LPAs observation, documentation review, and interviews conducted on 11/23/21 and 12/2/21. Facility is being cited for the following: (please see LIC 809 dated 11/23/21 for more information)
* Facility maintenance and operation: carpet with stains and fragments (photos taken) bedroom broken plug, cobwebs were observed in resident's R1 room, 3 out of 7 residents' bedroom sinks were clogged
*Unlocked sharps in kitchen drawer
* Physician Report for 2 out of 7 need to be updated
During today's visit, LPAs reviewed a sample of staff records on 12/2/21 and learned that all facility staff present have received criminal record clearances or exemptions. In addition, LPA observed that 4 out 4 new hired direct care staff has proof of some initial training. Staff S1, S2, S3, S4 were hired between 8/21 & 10/21 however; training on file is insufficient. (see copies, LIC 809-D, confidential name list). Facility also has a staff S4 without proof of 1st aid training. Staff S4 was hired on 9/5/2021. Staff S1 file has no proof of health screening and TB test clearance at this time. (LIC 809-D) Per administrator staff S1 hasn't been able to have health screening and TB test clearance done yet due to health insurance issues. Rhon Franco Administrator Certification # 6046042740 expired on 11/27/2021, per administrator documentation to renew has been submitted. At this time facility has no proof of emergency preparedness staff training and/or disaster drills being conducted at the facility.
See LIC 809C... |