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25 | At approximately 08:45AM, Licensing Program Analyst's (LPA's) Felias and Arnhold arrived at this facility unannounced, to conduct a case management Legal/Non-compliance inspection. This visit is to follow up on the office meeting that was held to review concerns on 4/14/2021. LPA's were met by Administrator Rhon Franco. There was a small table at the entrance where visitors are screened prior to entry. Administrator and LPA's toured the facility, including food storage areas, medication room and staff areas. LPA's observed 1 of the rooms used by staff was unsecured and contained 2 bottles of over the counter vitamins that were not secure. ***A civil penalty is being issued in the amount of $250 for this repeated violation within the last 12 months.*** LPA's discussed the need to ensure staff rooms are secure to prevent situations like this. The facility was clean and in good repair. Resident rooms and hallways had no discernible odors. Food storage areas on the lower floor showed evidence of rodent activity. LPA's were informed a monthly contract has been established with a pest control company to reduce the rodent issue. LPA's observed food safe rodent traps around the area to assist with the reduction of the rodent population. Food items were sealed against pests and to prevent contamination. During the inspection of the medication room, LPA's discussed with Administrator the facility procedures for what staff should do when a resident refuses medication. LPA's requested that Administrator organize a training for staff to ensure they understand when such incidents are to be reported.
During this inspection, LPA's observed staff providing activities for the residents. Residents appeared to be engaged with the activities.
During this inspection, LPA's followed up on an incident report that was submitted on 01/03/2022. Resident was found on the floor of their room at approximately 1:00AM, then assisted back into bed. At approximately 06:00AM, resident was found on the floor of their room again, then assisted to breakfast. Facility contacted responsible person at approximately 7:00AM to report the incident. Continued on LIC809-C... |