Spyglass Senior Villa 4

Maintain facility in clean, safe, sanitary condition

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This requirement is not met as evidenced by: Based on observation, two roach nymphs were found in the kitchen utensil drawer which poses a potential health risk.

Store centrally held medications in locked secure place

Based on observation, the licensee did not comply with the section cited above by having unlocked medication in resident's room which poses an immediate health and safety risk to persons in care.

Kitchen sanitation against contamination sources

Based on observation, the licensee did not comply with the section cited above by having roaches in the facility which poses a potential health and safety risk to persons in care.

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not comply with the section cited above by having the laundry room door open with the key in the lock which poses an immediate health and safety risk to persons in care.

87309 Storage Space and Access(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage.This requirement is not met as evidenced by: Based on observation , the licensee did not comply with the section cited above by having cleaning supplies and other chemical in all the bathroom cabinets unlocked, and unlocked medication in a kitchen drawer, and inside resident dresser, 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 4 out of 4 resident files, which poses a potential health, safety or personal rights risk to persons in care.

Allowing diabetic residents based on self-management ability

87628(a) Diabetes(a) The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing with blood .. and is able to administer his/her own medication ... This requirement is not met as evidenced by:Based on observation and interview, LPA observed glucose testing machine and was informed that S1 performs glucose testing for R1 which poses/posed an immediate/potential Health, Safety risk to persons in care

Ensure hazardous items are locked and not unattended

87309 Storage Space(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by:Based on observation, bathroom cleaner (toilet bowl cleaner, windex, cleaner with bleach) was unlocked in residents bathroom which poses/posed an immediate Health, Safety risk to persons in care

Store centrally held medications in locked secure place

87465(h)(2) Incidental Medical and Dental Care(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible... This requirement is not met as evidenced by:Based on observation, medication (tablets and insulin) was accessible in the kitchen drawer and refrigerator which poses/posed an immediate Health, Safety risk to persons in care.

Rapid-growth perishable foods must be covered

87555(b)(23) General Food Service Requirements(b) The following food service requirements shall apply(23) All readily perishable foods ..capable of supporting rapid and progressive growth of micro-organisms which can cause food infections...shall be stored in covered containers at appropriate temperatures. This requirement is not met as evidenced by:Based on observation, eggs were left in the kitchen pantry which poses/posed an immediate Health, Safety risk to persons in care.

Maintain an approved first aid kit on-site

Based on observation the licensee did not maintain a comapleted first aid kit which poses/posed a potential health, safety or personal rights risk to persons in care. LPA observed the kit did not contain a current manual, sterile first aid dressings, bandages, scissors nor tweezers.

Retain original records for at least three years

87506 Resident Records(e) Original records or photographic reproductions shall be retained for a minimum of three (3) years following termination of service to the resident.-This requirement is not met as evidenced by: -Based on interviews and record reviews, the licensee did not comply with the section above by not retaining all of R1's records for at least 3 years which posed potential health and personal rights risks to person in care.

Store disinfectants separately from food supplies

Based on observation, the licensee did not comply with the section cited above by having chemicals and detergents left unlocked and accessible to the residents in the laundry room which poses/posed a potential health, safety or personal rights risk to persons in care.

Resident access to hazardous items with safety review

Based on observation, the licensee did not comply with the section cited above by having medication left out and accessible to the residents which poses/posed a potential health, safety or personal rights risk to persons in care.