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Inspection visit

Follow-up on corrections

MAPLE AVENUE GUEST HOMELicense 1004036184 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Katie Brown arrived at the the facility unannounced to conduct a Case Management related to observations of violations during a complaint investigation visit on 7/22/2022. LPA met with Camalah Kopacz and explained the purpose of the visit. During a facility visit on 7/22/2022, LPA Brown made the following observations: 1. Storage Space: Accessible cleaning products under the bathroom counter Multiple disposable razors placed on top of a paper towel dispenser in resident bathroom 2. Maintenance and Operation: A piece of cardboard covering a broken windowpane (kitchen window). Dirty resident bedroom floors, baseboards and windowsills, walls, light-switch covers, shower floors Pile of baskets and trash at the top of the stairs into staff room Broken bedroom furniture in resident rooms - Night stands and dressers missing drawers Broken hanging blinds 3. Personal Accommodations and Services: Multiple resident beds with soiled sheets and missing required bedding Multiple resident rooms smell of urine 4. Fire Safety: A dresser blocking an Emergency Exit in a resident room to keep a resident from leaving the facility See LIC809-C for continuation of this report

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

    Maintain facility in clean, safe, sanitary condition

    87303 Maintenance and Operation (a) 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 was not met as evidenced by: Licensee did not ensure the facility is clean, safe, sanitary and in good repair. LPA observed a broken window pane, dirty bedroom floors, baseboards and windowsills, walls, broken bedroom furniture with missing drawers and broken blinds in resident rooms.This poses a potential health, safety or personal rights risk to residents in care.

  • 87307(a)(3)(C)Type B

    Clean linen quantity and hygiene supplies

    87307 Personal Accommodations and Services (a) Living accommodations and grounds shall be related to the facility's function….(3) Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident…(C) Clean linen, including blankets, bedspreads, top bed sheets,bottom bed sheets, pillow cases, mattress pads…. to ensure that clean linen is in use by residents at all times….This requirement was not met as evidenced by:LPA observed multiple residents beds with soiled or missing required linens. Multiple resident rooms smelled of urine.This poses a health, safety or personal rights risk to residents in care.

  • 87309(a)(1)Type A

    Store disinfectants separately from food supplies

    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. (1) Storage areas for poisons, and firearms and other dangerous weapons shall be locked.This requirement was not met as evidenced by: Licensee did not ensure that chemicals/cleaning supplies and items which could pose a danger to resident if readily available were locked and properly stored. LPA observed 3 disposable razors and unlocked cleaning supplies stored accessable being stored in resident bathroom.This poses an immediate health, safety or personal rights risk to reisdents in care.

  • 87203Type B

    Maintain facilities for fire and panic safety

    87203 Fire Safety All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic.This requirement was not met as evidenced by: Licensee did not maintain in conformity with the regulations adopted by the State Fire Marshal. LPA observed a dresser placed blocking an Emergency Exit door which staff stated was placed to keep resident from leaving through the door.This poses a health, safety or personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the November 7, 2022 inspection of MAPLE AVENUE GUEST HOME?

This was an other inspection of MAPLE AVENUE GUEST HOME on November 7, 2022. 4 citations were issued: 1 Type A (serious) and 3 Type B.

Were any citations issued to MAPLE AVENUE GUEST HOME on November 7, 2022?

Yes, 4 citations were issued (1 Type A, 3 Type B). The first citation was for: "87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Mainte..."

What type of inspection was this?

This was an other inspection. other 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.