Paradise Gardens Care Home Ii

Resident record must include minimum required items

Based on record review, the licensee did not comply with the section cited above in having many records missing, which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain personnel records at facility location

Based on record review, the licensee did not comply with the section cited above in having many records missing, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above as the quartly emergency drill forms are missing, which poses/posed a potential health, safety or personal rights risk to persons in care.

Resident record must include minimum required items

Based on record review, the licensee did not comply with the section cited above in resident records that were missing appraisal needs and service care plans, pre-appraisals, and admission agreements, which poses a potential health, safety or personal rights risk to persons in care.

Address and clearance obligations before facility work

Based on record review, the licensee did not comply with the section above. 1 staff member was not associated with the facility, which poses an immediate health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 2 of 2 new staff show no proof of training in their files, which posesa potential health, safety or personal rights risk to persons in care.

Health screening and fitness requirements

Based on interviews and record reviews, the licensee did not comply with the section cited above (1) staff records without health screening report and (2) current administrator not in good health and replacement administrator is not associated with facility or completed all requirements for being the administrator in accordance with December 2023 email from LPA Sampair, which poses a potential health, safety or personal rights risk to persons in care.

Maintain personnel records at facility location

Based on record review, the licensee did not comply with the section cited above for files missing for staff member working as administrator, Nenita Williams, which poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 2 of 2 new staff records reviewed contained no proof of dementia training in 2024, which poses a potential health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on observation, the licensee did not comply with the section cited above in (1) front gates: repair latches and self-closing mechanisms; (2) exterior screen door: repair so it closes completely; (3) repair and secure trestles holding vines above walkway and white trestle with disconnected end section; (4) clean out freezer with ice on food; and (5) sliding glass door is very difficult to open. which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in 1 out of 1 of the residents using oxygen, which poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 1 out of 1 staff records reviewed that no new staff or dementia training with staff has been completed, which poses a potential health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on observation, the licensee did not comply with the section cited above in the loose seat cover in the bathroom toilet, gates outside not self-closing, door to garage with broken hinges, and sliding glass door that sticks all require repairs to be working correctly, which poses a potential health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on observation, the licensee did not comply with the section cited above by not (1) conducting and recording results of routine symptom screening (+/- temperature and symptom check) at entry for all staff, residents, and visitors (2) having a 30-day supply of PPE (e.g., facemasks, respirators, gowns, gloves, and eye protection such as face shield or goggles), which poses a potential health, safety or personal rights risk to persons in care.

Keep window screens clean and in repair

Based on observation, the licensee did not comply with the section cited above in 2 screens on sliding doors were torn on the edge and the rear sliding door is too difficult to open, which poses a potential health, safety or personal rights risk to persons in care.

Requirement for building permit before construction

Based on observation, the licensee did not comply with the section cited above by using the Garage as a bedroom for staff, which poses a potential health, safety or personal rights risk to persons in care.

Early illness recognition

Based on observation and interview, the licensee did not comply with the section cited above. Staff have been told the wrong information about protection from COVID-19 and Inadequate training on infection prevention, symptoms, transmission and PPE use by an individual trained in infection control. This poses a potential health, safety or personal rights risk to persons in care.

Keep prescriptions in original containers

Based on observation, the licensee did not comply with the section cited above in 5 of the 5 resident's medications with the use of transfer containers to dispense them to the residents on a daily basis, which poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above since the last emergency drill that was conducted August 11, 2021, which poses a potential health, safety or personal rights risk to persons in care.

Immediate disposal of contaminated food

Based on observation, the licensee did not comply with the section cited above. Previously opened food in resident and staff refrigerators and freezers was not labeled with date it had been opened, which poses an immediate health, safety or personal rights risk to persons in care.

Notify agency before locking doors or gates

Based on observation, the licensee did not comply with the section cited above for unlocked 2 sharps drawers with scissors, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above with the requirement to train staff adequately, which poses/posed a potential health, safety or personal rights risk to persons in care.

Early illness recognition

Based on observation and record review, the licensee did not comply with the section cited above by not adequately training staff on infection prevention, symptoms, transmission, and PPE use, which poses a potential health, safety or personal rights risk to persons in care.

First aid training requirements

Based on record review, the licensee did not comply with the section cited above with the training for the staff members, which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on observation, the licensee did not comply with the section cited above in the outside of the facility because of the empty pond that must be covered, the dead tree in backyard that must be removed, and the junk on side of building, and piano out front must be cleared, which pose a potential health, safety or personal rights risk to persons in care.