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Inspection visit

Routine inspection

SANS SOUCILicense 0756015744 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

On 8/25/22 at 10:30 AM, Licensing Program Analyst (LPA) J. Sampair conducted an infection control annual inspection. Upon arrival, LPA explained the purpose of the visit. Staff member Nemesio "Jun" Lopez and Administrator Katherine Grutas toured the facility inside and outside with LPA. Facility has an infection control plan in place that they are following. The designated infection control leader is the administrator. They have one central entry point that has been designated for universal entry screening with the station located near the front entrance with visitor's log, hand sanitizer, face masks, and no touch thermometer. Facility follows daily cleaning, sanitation of frequently touched common surfaces with disinfectants. COVID-19 signs were posted to promote hand washing, cough/sneeze etiquette and physical distancing. The temperature inside of the facility was 78.8 and the hot water was 110 degrees Fahrenheit, both of which were in the safe range. Fire extinguisher was fully charged and had been updated within the past year. An administrator is on site more than the required 20 hour minimum each week to oversee business operations. Facility cited for 1 Type A and 3 Type B deficiencies (refer to LIC 809-D). Updated copies of the following documents were requested for facility file and are to be submitted to CCL on or before 09/01/22: · LIC500 - Personnel Report · LIC308 - Designation of Facility Responsibility · LIC610E - Emergency/Disaster Plan · Evidence of Liability Insurance & Surety Bond Exit interview conducted, copy of Appeal Rights, and a copy of this report provided via email.

Citations

4 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 1569.311Type B

    Based on observation, the licensee did not comply with the section cited above with a non-operable carbon monoxide detector, which poses a potential health, safety or personal rights risk to persons in care.

  • 87309(a)Type A

    Ensure hazardous items are locked and not unattended

    Based on observation, the licensee did not comply with the section cited above in the hall closet and under the sink cabinets that were accessible to residents that contained Febreze and cleaning products were unlocked, which poses an immediate health, safety or personal rights risk to persons in care.

  • Limit staff assistance with self-administered drugs

    Based on observation, the licensee did not comply with the section cited above because staff members assisting residents in the administration of their medications are not completing the Medication Administration Record (MAR) LIC 622A form nor any other recording of the administration of residents' medications, which 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 when Administrator transfers medications from original container into a different container for staff to administer medications at a later date and time, which poses a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 25, 2022 inspection of SANS SOUCI?

This was an inspection of SANS SOUCI on August 25, 2022. 4 citations were issued: 1 Type A (serious) and 3 Type B.

Were any citations issued to SANS SOUCI on August 25, 2022?

Yes, 4 citations were issued (1 Type A, 3 Type B). The first citation was for: "Based on observation, the licensee did not comply with the section cited above with a non-operable carbon monoxide detec..."

What type of inspection was this?

This was an inspection. Inspections are conducted by CCLD as part of their licensing oversight.

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.