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Bathrooms: There are five (5) restrooms for individual use. Restrooms were clean and sanitary. Restrooms were observed with a cabinet that included disinfecting wipes and disinfecting spray which were observed secured at the time of the visit. The LPA observed trash cans with lids to protect individuals from cross contamination. The bathrooms were sufficiently stocked with soap and paper towels. The hot water temperature was measured in restrooms, and they measured between 105 - 120 degrees Fahrenheit at the time of the visit.
File Review: Records review began at 12:00 p.m.; five (5) individual records were reviewed for the following: signed admission agreements, current medical assessments with TB results, Consent for Treatment form, Individual Program Plans (IPP), and current needs and services plan. All participant records were in order at this time. The LPA reviewed six (6) staff files for, but not limited to, the following: personnel records, health screening, criminal record statements, and valid first aid/CPR. Training records on file. All staff records were in order at this time.
Medications: Medications review began at approximately 01:30 p.m. Medications are centrally stored and locked inside a cabinet in the LVN’s office. All medications including PRNs were labeled, stored and locked inaccessible to individuals. PRNs have physicians order on file. Medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. No errors observed during medications review.
Interviews conducted during the visit.
Exit interview conducted. No citations issued. The report was reviewed, and a copy was provided. |