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Inspection visit

Routine inspection

COMMONS AT DALLAS RANCH, THELicense 079200575
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

On 08/19/22 at 3:30PM, Licensing Program Analyst (LPA) D Panlilio conducted an infection control annual inspection and explained the purpose of the visit with administrator (ED) and resident services director (RSD). LPA observed 7 staff wearing face masks and 14 residents enjoying the live music singing in the visitation room area during visit. Facility has a mitigation plan in place to mitigate the spread of COVID-19. LPA discussed the completed mitigation plan (LIC 808) with administrator as well as COVID-19 infection control practices. LPA inspected the facility inside and outside. One central entry point (front desk) has been designated for universal entry screening with the station located near the front entrance with visitor's log, hand sanitizer, gloves, face masks and no touch temperature probe. COVID-19 signs are posted throughout the facility to promote handwashing, cough/sneeze etiquette and physical distancing. Facility documents daily temperatures and COVID-19 symptom checks for staff, visitors and residents. Pathways were observed to be free of obstruction and fire hazards. Adequate supplies of PPE were observed stored in the backyard shed. Sufficient supply of medications were also observed in the Med room. Facility follows daily cleaning, sanitation of frequently touched common surfaces using Clorox and Lysol disinfectants. Administrator, the designated infection control leader, is on site daily to oversee proper business operation and compliance with COVID-19 and Monkey pox infection control practices. Fire extinguisher was observed fully charged. Smoke and Carbon monoxide detectors were operational. Continued on next page, LIC 809-C Updated copies of the following documents were requested for facility file and are to be submitted to CCL on or before 08/23/22: · LIC500- Updated Personnel Report · LIC308- Designation of Facility Responsibility · LIC610E- Emergency/Disaster Plan/Infection Control Plans · Evidence of Liability Insurance No deficiencies cited during this visit. Exit interview conducted and a copy of this report provided via email.

Citations

5 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.

  • 87411(a)Type B

    Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs This requirement was not met as evidenced by insufficient staff which posed a potential health & safety risk to residents in care

  • 1569.2(c)Type B

    (c) “Care and supervision” means the facility assumes responsibility for, or provides or promises to provide in the future, ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered. Assistance includes assistance with taking medications, money management, or personal care. This requirement was not met as evidenced by staff failing to provide basic services which posed a potential health & safety risk to residents in care

  • 87413(a)(1)Type B

    When regular staff members are absent, there shall be coverage by personnel with qualifications adequate to perform the assigned tasks This requirement was not met as evidenced by insufficient staff which posed a potential health & safety risk to residents in care.

  • 87465(b)Type B

    If the resident's physician has stated in writing that the resident is able to determine and communicate his/her need for a prescription or nonprescription PRN medication, facility staff shall be permitted to assist the resident with self-administration of his/her PRN medication This requirement was not met as evidenced by staff failing to administer residents' medications as prescribed which posed a potential health & safety risk to residents in care.

  • 87625(b)(3)Type B

    Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement was not met as evidenced by staff failing to assist residents with incontinence care which posed a potential health & safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 19, 2022 inspection of COMMONS AT DALLAS RANCH, THE?

This was a inspection inspection of COMMONS AT DALLAS RANCH, THE on August 19, 2022. The inspection found no deficiencies and no citations were issued.

Were any citations issued to COMMONS AT DALLAS RANCH, THE on August 19, 2022?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

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.