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Inspection visit

Incident investigation

MAPLE TREE CARE HOMELicense 1072067612 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 05/08/2024, Licensing Program Analysts (LPAs) V Gorban and B Miranda unannounced visited facility stated above to commence complaint investigation and complete a residents safety check. During this visit LPA met with facility staff Irina and Mercy. Administrator (AD) was notified of Licensing visit and was able to attend it. During the facility visit the facility staff shared with LPA that the fire department visited the facility on 4/14/2024 because of R1 call to FFD. When LPAs requested the incident report the Administrator did not have any reports on record to provide to Licensing. Also, during the facility tour on 5/08/24 LPA observed residents bed full rails raised up restricting resident mobility in rooms, 1, 2, 5, and 6. Full raised bed rails medical order was not provided by Administrator when requested. The deficiencies will follow on attached LIC809-D

Citations

2 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.

  • 87211(a)(1)Type B

    Report specified resident events within seven days

    87211 Reporting Requirements. (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified below. This was not observed as evidenced by: Facility failed to submit incident report for R1 that occurred on 4/14/24 in timely manner to Licensing, which posses potential safety risk to residents in care.

  • 87608(a)5(b)Type B

    87608 Postural Supports (a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions.(1) Postural supports shall be limited to appliances or devices such as braces, spring release trays, or soft ties, used to achieve proper body position and balance, to improve a resident's mobility and independent functioning, or to position rather than restrict movement including, but not limited to, preventing a resident from falling out of bed, a chair, etc. This was not observed as evidenced by: The facility failed to follow regulation by acquiring required documents and without proper documentation have residents full rails raised. That poses potential health and safety risk to residents in care.

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FAQ · About this visit

Common questions about this visit

What happened during the May 8, 2024 inspection of MAPLE TREE CARE HOME?

This was an other inspection of MAPLE TREE CARE HOME on May 8, 2024. 2 citations were issued: 2 Type B.

Were any citations issued to MAPLE TREE CARE HOME on May 8, 2024?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "87211 Reporting Requirements. (1) A written report shall be submitted to the licensing agency and to the person responsi..."

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.