My Serenity Board and Care

87303(a) Maintenance and Operation. The facility shall be clean, safe, sanitary and in good repair at all times. This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above, as the facility had an issue with pests, which poses a potential health and safety risk to residents in care.

1569.69(a)(2) Employees assisting residents with self-administration of medication. The employee shall complete 10 hours of initial training. This training shall consist of 6 hours of hands-on shadowing training... and 4 hours of other training or instruction...This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above, as 2 out of 2 staff (S2, S3) did not have all of the medication hours completed, which poses a potential health and safety risk to residents in care.

87465(a)(5) Incidential Medical and Dental Care. The licensee shall assist residents with self-administered medications as needed.This requirement is not met as evidenced byL Based on medications review and interview, the licensee did not comply with the section cited above, as the LPA could not complete an accurate medication count, which poses a potential health and safety risk to residents in care.