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Inspection visit

Routine inspection

BETHANY HOMELicense 0792003094 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

On 07/27/23 at 08:55 am Licensing Program Analysts (LPA) J. Clancy-Czuleger arrived unannounced to do an annual inspection. LPA meet with staff Fran West and explained the purpose of the visit. House manager Telesha Clarke joined later. LPA inspected the facility inside out. There is no body of water. Physical plant is consistent with the facility sketch received by Central Application Bureau (CAB) and approved by the fire department. LPA inspected the living room, dining area, kitchen, bedrooms, hallways, bathrooms, side and backyards. Bedrooms were observed appropriately furnished with adequate lighting and drawers. Facility has sufficient towels, extra bed sheets and comforters. Equipment and supplies for residents' personal hygiene are available and on site. Dinner and silver wares were observed sufficient for residents' use. Food supplies checked and observed good for seven days of non-perishables. Facility was observed equipped with refrigerator, microwave, dishwasher, washer and dryer. Cabinet for knives, cleaning supplies, and central storage for medications were observed with locks. Activity supplies were available. Outdoor activity space was observed furnished with tables, chairs and shade. The facility has a mitigation plan. Fire extinguishers were observed fully charge and tags showed serviced 04/16/2023. At 10:08 am LPA reviewed 3 residents records. At 11:45 am, LPA reviewed 2 staff records and 2 of 2 were fingerprint cleared and associated to the facility. Continued on LIC809C... ...Continued from LIC 809 The following deficiency was observed during the visit: The resident records were not completely stored at the facility (This is a repeat violations) staff records are missing from the facility The toilet in room 3 was not clean and is broken There is no PUB 475 posted The Facility was cited, and citations can be found on the LIC 809-D. A total of $1000 of Civil Penalty is being assessed for repeat violation . Exit interview conducted. Appeal Rights and a copy of this report provided.

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.

  • 87303(a)Type B

    Based on observation, the licensee did not comply with the section cited above by having the toilet in room three dirty and broken which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87412(g)Type A

    Based on record review, the licensee did not comply with the section cited above by not having staff records at the facility ] which poses an immediate health, safety or personal rights risk to persons in care.

  • 87468(c)(2)(A)Type B

    Based on observation) add interview, the licensee did not comply with the section cited above by not having the PUB 475 posted in the facility which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87506(a)Type A

    Based on record review, the licensee did not comply with the section cited above by having the resident records in part at the facility and in part on a computer that comes and goes with the manager which poses an immediate health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the July 27, 2023 inspection of BETHANY HOME?

This was a inspection inspection of BETHANY HOME on July 27, 2023. 4 citations were issued: 2 Type A (serious) and 2 Type B.

Were any citations issued to BETHANY HOME on July 27, 2023?

Yes, 4 citations were issued (2 Type A, 2 Type B). The first citation was for: "Based on observation, the licensee did not comply with the section cited above by having the toilet in room three dirty ..."

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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