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Inspection visit

Routine inspection

SUMMER SPRINGS BOARD & CARELicense 15720422110 citations on this visit
10 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Shawna Doucette arrived at the facility unannounced to conduct the Required Annual Inspection. LPA met with Administrator Socorro Telmo. LPA disclosed the purpose of the visit and was granted entry into the facility by Staff Benjamin Wandasan. A tour of the facility was conducted with the Administrator. LPA Doucette observed 4 bedrooms in the facility. While touring the facility, LPA observed an added staff bedroom/office which was not on the facility sketch and was not fire cleared. Facility did not notify licensing of construction or obtain a building permit. Hot water temperature was measured 118.2 F. Kitchen toured, supply of food observed and food stored properly for perishable and nonperishable. Medications were stored in a locked Medication cart and locked refrigerator. Cleaning supplies were in a locked cabinet under the kitchen and bathroom sinks. Smoke detectors and carbon monoxide detectors were checked and operating. Facility has a pull station fire alarm. Resident, medication, and staff records were reviewed. R2's centrally stored log was reviewed and errors were observed. R1's records were reviewed and it was found that R1 self administers injections however facility did not have a sharps container to dispose of needles/syringes. Sharps were disposed of in an open trash can next to R1's bed. R3 requires a restricted health care plan. Administrator did notify licensing of R3's restricted health condition and facility did not have a care plan for R3 at the facility. Staff did not have current first aid and CPR training. Staff did not have updated training for annual hours required, hospice training for hospice residents and training for restricted health care plan. Deficiencies were observed and will be cited under Title 22, Division 6. See LIC 809D and LIC 9102. Civil Penalties were issued. An exit interview was conducted with the Administrator. A copy of this report, plan of correction and appeal rights were discussed and left with the Administrator, Socorro Telmo, whose signature on this form confirms receipt of these documents.

Citations

10 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.

  • 1569.618(c)(3)Type B

    Based on interview and record review, the licensee did not comply with the section cited above in 2 out of 2 persons which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.696(a)Type B

    Based on interview and record review, the licensee did not comply with the section cited above in 2 out of 2 persons which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.696(a)(1)Type B

    Based on interview and record review, the licensee did not comply with the section cited above in 2 out of 2 persons which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87202(a)Type A

    Maintain fire clearance before retaining specified persons

    Based on observation, the licensee did not comply with the section cited above by adding a staff room/office which was previously the garage, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87303(f)(2)Type A

    Handle syringes and needles under bloodborne pathogen rules

    Based on observation interview, the licensee did not comply with the section cited above by disposing used needles/syringes in an uncovered trash can in R1's room, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87305(a)Type B

    Requirement for building permit before construction

    Based on interview and record review, the licensee did not comply with the section cited above by not obtaining a building permit to construct a staff bedroom/office in the garage, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87616(b)(1)Type B

    Based on interview and record review, the licensee did not comply with the section cited above in 1 out of 1 persons which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87633(b)(4)Type B

    Based on interview and record review, the licensee did not comply with the section cited above in 1 out of 1 persons which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87633(b)(6)Type B

    Based on interview and record review, the licensee did not comply with the section cited above in 1 out of 1 persons which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(a)(6)Type B

    Maintain records of centrally stored medication dosages

    Based on interview and record review, the licensee did not comply with the section cited above in 1 out of 1 record which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 27, 2023 inspection of SUMMER SPRINGS BOARD & CARE?

This was an inspection of SUMMER SPRINGS BOARD & CARE on April 27, 2023. 10 citations were issued: 2 Type A (serious) and 8 Type B.

Were any citations issued to SUMMER SPRINGS BOARD & CARE on April 27, 2023?

Yes, 10 citations were issued (2 Type A, 8 Type B). The first citation was for: "Based on interview and record review, the licensee did not comply with the section cited above in 2 out of 2 persons whi..."

What type of inspection was this?

This was an 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.