Happy Living Facility

Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 1 fire extinguisher's service date is 2/12/25. Service date is passed due which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 1 fire drill was not completed within the required quarterly period which poses an immediate health, safety or personal rights risk to persons in care.

Ensure hazardous items are locked and not unattended

Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 1 pair of scissors was accesible to residents in unlocked kitchen drawer which poses an immediate health, safety or personal rights risk to persons in care.

Maintain records of centrally stored medication dosages

Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 1 medications: Vitamin D3 1000IU 25mcg tablets. Take 1 tablet by mouth one time a day was administered but not labled on MAR or initialed on MAR which poses an immediate health, safety or personal rights risk to persons in care.

Track resident cash safeguard records

Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 3 residents did not posess a Safefuard for Property Values in resident file which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, record review, the licensee did not comply with the section cited above in 3 out of 3 residents did not posess an Appraisal Needs and Services Care Plan, which poses/posed a potential health, safety or personal rights risk to persons in care.

80075(k)(7) Health Related Services The licensee shall ensure the maintenance, for each client, of a record of centrally stored prescription medications…CSMDR observed to be incomplete & not maintained as required.

Every facility… pursuant to this chapter shall have one or more carbon monoxide detectors in the facility that meet…standards…§1503.2 Carbon monoxide detectors required…During 4/29/15 visit it was observed that this facility did not have an operational carbon monoxide detector.

80044(a) Inspection Authority of the Licensing Agency. The licensing agency shall have inspection authority…During 4/29/25 Annual LPA’s K. McClurg & J. Leffal were denied access to side yard with motorhome.

Ensure hazardous items are locked and not unattended

Storage Space. ...items which could pose a danger if readily available...shall be stored where inaccessible to clients. Observations: 1.)Front patio/porch: Unsecured string trimmer/edger & Unlocked cabinet containing hazardous items including aerosol Brake Cleaner, aerosol Starting fluid, motor oil, heavy duty cleanser, misc. power tools, etc; 2.) Unlocked Laundry room & closet containing misc. detergent/cleansers, chemicals, etc.,3.) Unlocked cabinet under kitchen sink containing knives & misc. detergent/cleansers, chemicals,etc.; 4.) Back/side yard with trailer unlocked & 1/2 gate Leaving gasoline, propane, motor oil, misc power tools etc. accessible.

Diet quality and preparation in safe healthful manner

General Food Service Requirements. All food shall be selected, stored, prepared and served in a safe and healthful manner. 1.) Meat being defrosted on countertop; 2.) Food being stored in empty pickle jar;

Food storage temperature control requirements

General Food Service Requirements. ...refrigerators...shall be kept clean & food stored to enable adequate air circulation to maintain...temperatures. Refrigerator very full posing potential rish of impeding air circulation necessary to maintain appropriate temperature.

Store centrally held medications in locked secure place

Incidental Medical and Dental Care. ...medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for... medication.L/A's bedroom observed to be unlocked with multiple misc. medications accessible.

Maintain facilities for fire and panic safety

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. 1.) Bed/bed frame obstructing entry & egress point of resident bedroom; 2.) On front porch/patio a single nail was observed to be draped with multiple strands of string lights connected to electrical outlet through use of multiple extension cords including what appeared to be of the type rated for indoor use only.

Maintain facility in clean, safe, sanitary condition

Maintenance & Operations. The facility shall be clean, safe, sanitary & in good repair at all times. 1.) Resident bathroom requires cleaning @ base of toilet, toilet front sides bowl to floor, bulbs over sink dusted/cleaned; plunger stored on floor to back/side of toilet to be stored in a healthful manner; 2.) Hallway: ceiling vent dusty/dirty; doors & doorjams dirt/soild around doorknobs & surfaces at doorknob level; wals & doorframes have black markings/scraped paint most likely from wheelchaire use, & baseboards, etc., in need of repair &/or painting, etc.; 3.) Outside area in need of clean-up & removal of items including non-op appliances @ front, metal fencing @ side, materials behind shed, & other misc items.

Facility maintenance and healthful environment

Personal Accommodations and Services. ...all facilities...shall be maintained in a state of good repair &...provide a safe and healthful environment.Toilet in resident bathroom did not have a toilet seat. This poses an immediate risk of fall &/or injury, etc.

Maintain facilities for fire and panic safety

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. Chain lock observed at top of front door. Top of door exceeded 6" & cannot be unlatched without use of ladder &/or step stool.Immediate Risk

Facility personnel sufficiency and competence

Personnel Requirements - General. Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. Absence of care & supervision for a duration of time. Staff not present or not available to meet resident needs.Immediate Risk.

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not comply with the section cited above when LPA and Licensee observed electric tool and table saw was observed covered by a sheet outside in the backyard near siding door with one ambulatory resident present. Tools were unlocked and accessible to residents in care this poses an immediate health, safety or personal rights risk to persons in care.

Conformance with applicable laws and regulations

Based on observation, Fire Extinguisher has a service date of 05/14/21, which poses an immediate health and safety risk to the residents.

Maintain facility in clean, safe, sanitary condition

Based on observation, the licensee did not comply with the section cited above by having broken wood and a dirty shower in both resident bathrooms along with a strong smell of urine, doors throughout facility need to be cleaned, broken drawer in kitchen which poses/posed a potential health, safety or personal rights risk to persons in care.