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32 | Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for resident/staff files. There is a Medicine closet with the resident’s medications locked. LPA Brown observed the complete first aid kit and first aid book at the facility.
Food Service: More than seven (7) days’ supply of Non-perishable foods and more than two (2) days’ supply of perishable food supply were observed and sufficient for the number of residents in care.
Care & Supervision: The facility has an Administrator present at the facility with appropriate and enough hours to appropriately manage the facility. The facility has sufficient number of staff to provide care and supervision to the residents in care.
Record Review: LPA Brown observed the facility has an updated liability insurance. LPA Brown did not observe Infection Control Plan maintained at the facility. Deficiency will be issued. LPA Brown reviewed two (2) resident files for admission agreements, updated physician reports, pre-placement appraisals, centrally stored medication list and needs and services plans. LPA Brown observed no completed preplacement needs and services plan for Resident #1 (R1) and Resident #2 (R2). Deficiency will be issued. LPA Brown observed incomplete Centrally Stored Medications list for Resident #1 (R1) and Resident #2 (R2). Deficiency will be issued. LPA Brown reviewed two (2) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings with tuberculosis (TB) test result. LPA Brown observed no documentation of the required 40 Hours training provided to Staff #2 (S2). Deficiency will be issued. LPA Brown observed no additional 20 hours annual training were provided to Staff #2 (S2). Deficiency will be issued. LPA Brown observed Staff #2 (S2) does not have the required four (4) hours of medication training and S2 and Staff #3 (S3) do not have the required six (6) hours of hands-on shadowing training. Deficiency will be issued.
LPA Brown observed no medication record at the facility for Resident #1 (R1) and Resident #2 (R2) and there's no proof to show that staff at the facility are assisting R1 with R1 medication per R1's doctor's order as one (1) medication of R1's missing and no medication record was maintained at the facility to show medication was given per R1's physician order. Deficiency will be issued.
In addition, LPA Brown observed the facility does not have the required emergency supplies, food and water maintained at the facility. Deficiency will be issued. Also, LPA Brown observed that the Licensee did not review, sign and date the Emergency Disaster Plan. Deficiency will be issued.
***Continuation in LIC809C*** |