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32 | the facility as of June 22, 2026. Both individuals have a valid administrator certificate. LIC500 personnel report reflects facility has an administrator and an on call administrator. Interview with staff stated that administrator generally is at the facility Monday – Friday from 9:00am to 6:00pm and on weekends it is on call.
It is alleged that residents’ hygiene needs are not being met, specifically to not have laundry supplies at the facility to do residents laundry. LPA on facility visit toured the physical plant of the facility and observed the laundry unit of the facility to be stocked with laundry detergent, fabric softener and dryer sheets. LPA toured the storage unit and observed additional supplies of laundry detergent, fabric softener and dryer sheets. Interview with staff stated that they are the ones that purchase the laundry supplies to ensure that supplies are always kept.
It is alleged that facility failed to address resident’s with scabies. Records review revealed that the facility sent in LIC624 incident reports to the department on February – March of residents having scabies and/or being exposed to scabies. The facility immediately initiated infectious control protocol in accordance with facility policy and public health guidance. Interview with staff stated that residents were placed on isolation and contact precautions and promptly started on physician’s order treatment. All residents were assessed for signs of scabies and were placed under ongoing monitoring. LPA toured the facility and did not observe any residents in the common areas with sign and symptoms of scabies.
It is alleged that residents’ medication are not being administered as prescribed, specifically to staff giving double doses of medication and losing medication. Record review for 10 random selected residents reflects MAR from April to June of 2026, medication doses given as prescribed. MAR, PRN and controlled/antibiotic drug records revealed no missed doses. MARs reflect that medication was given at the scheduled time per order indications. Records review indicate staff are following doctor’s orders as prescribed. Interview with 2 of 2 staff revealed that medication is given as prescribed and there is no way staff can fail to administer medication because that would cause a shortage of dosage. Staff indicated this would reflect on MAR, but however dosages are signed off as given as indicated on prescription instructions.
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