Megan's Place

Provide resident hot water for personal care

Based on observation, the licensee did not comply with the section cited above as the facility's water temperature was measured to be greater than 120 degrees F which poses an immediate health and safety risk to persons in care.

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not comply with the section cited above as cleaning chemicals and a lighter were left unsecured throughout the facility which posed an immediate health and safety risk to persons in care.

Store toxic and hazardous substances safely

Based on observation, the licensee did not comply with the section cited above as suppliments, vitamins, and cigarettes were left unsecured throughout the facility when two residents were determined to be at risk if allowed access to these items which poses an immediate health and safety risk to persons in care.

Store centrally held medications in locked secure place

Based on observation, the licensee did not comply with the section cited above as bottles of Advil and Motrin were left unsecured in drawers/cabinets which posed an immediate health and safety risk to persons in care.

Keep window screens clean and in repair

Based on observation, the licensee did not comply with the section cited above as one bedroom screen and the living room screen door contained tears in the screening material which poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above as one staff member was observed to be missing proof of the completed 40 hours of initial trainings and was unable to appropriately identify the residents rights, forms of abuse, and the appropriate reporting procedures for suspected abuse which poses a potential health, safety or personal rights risk to persons in care.

Health screening and fitness requirements

Based on record review, the licensee did not comply with the section cited above as one staff was missing proof of a negative TB test and two staff were missing a completed LIC 503 which poses a potential health risk to persons in care.

Maintain required personnel records for staff

Based on record review, the licensee did not comply with the section cited above as one staff file was observed to be missing the front sheet of their LIC 501 and was missing information including the employee’s Social Security number, date of employment, educational background, past experience, etc. which poses a potential health, safety or personal rights risk to persons in care.

Update reappraisal at required intervals

Based on record review, the licensee did not comply with the section cited above as four residents files contained appraisals that were last completed more than 12 months prior which poses a potential health, safety or personal rights risk to persons in care.

Maintain fire clearance before retaining specified persons

Based on observation, the licensee did not comply with the section cited above as the fire door leading to bedroom #4 is in disrepair and failed to properly close at the time of the fire alarm test which poses an immediate safety risk to persons in care.

Maintain separate complete record for each resident

Based on record review, the licensee did not comply with the section cited above as two resident's files were observed to be missing required documents and signatures which poses a potential personal rights risk to persons in care.

Provide resident hot water for personal care

Based on observation, the licensee did not comply with the section cited above as the water temparature in resident bathrooms was measured between 137.8 and 140.0 degrees Fahrenheit which posed an immediate health risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on observation, the licensee did not comply with the section cited above as one sink in the common resident bathroom was observed to be leaking water into the cabinet located below which poses a potential health risk to persons in care.

87468.1 Personal Rights of Residents...(b) All residents...shall be protected from all of the actions specified in this subsection...(8) Deny or restrict medical or nonmedical care that is appropriate to a resident’s organs and bodily needs...This requirement is not met as evidenced by: Based on interviews the licensee did not comply with the section cited above as R1's facial wound became infested with maggots while in care at the facility which poses a potential health or personal rights risk to clients in care.

Grounds for eviction listed for residents

87224 Eviction Procedures(a) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required...This requirement is not met as evidenced by: Based on interview and record review the licensee did not comply with the section cited above as a lawful eviction for R1 was not submitted to CCLD prior to the resident's eviction from the facility which posed a potential personal rights risk to clients in care.

Arrange appropriate medical and dental care

87465 Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall...(1) The licensee shall arrange...for medical and dental care appropriate to the conditions and needs of residents.This requirement is not met as evidenced by: Based on interview the licensee did not comply with the section cited above as medical care for R1's facial wound was sought 3 days after first being identified which posed a potential health risk to clients in care.

87211 Reporting Requirements(a)... licensee shall furnish to the licensing agency such reports...(1) A...report shall be submitted to the licensing agency...within seven days...(D) Any incident...health of any resident...This requirement is not met as evidenced by: Based on record review and interview the licensee did not comply with the section cited above as no special incident reports were submitted for the hospitalization of Resident 1 which poses a potential health, safety, or personal rights risk to clients in care.

Obtain baseline medical assessment before resident admission

87458 Medical Assessment(a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year....This requirement is not met as evidenced by: Based on interview and record review the licensee did not comply with the section cited above as resident 1's file was observed to contain an incomplete medical assessment which poses a potential health and safety risk to clients in care.

87457 Pre-Admission Appraisal General (a) Prior to admission, the... resident ...shall be interviewed by the licensee...(2) The...resident's...her background, including...medical background... shall be discussed.This requirement is not met as evidenced by: Based on interview and record review the licensee did not comply with the section cited above as no preadmission appraisal of resident 1 was completed prior to accepting resident 1 into care which poses a potential health and safety rick to clients in care.

87608 Postural Supports(a) ...Postural supports may be used under the following conditions. (5)...(B) Bed rails that extend the entire length of the bed are prohibited except for ...hospice care...This requirement is not met as evidenced by Based on observation and record review the licensee did not comply with the section cited above as a resident's bed was observed to contail full bed rails, the resident is not on hospice and does not have a doctor's order for full bed rails which poses a potential personal rights risk to clients in care.

Admission agreement signing and dating deadline

87507 Admission Agreements(c) Admission agreements shall be signed and dated...no later than seven days following admission...This requirement is not met as evidenced by: Based on interview and record review the licensee did not comply with the section cited above as a resident's file was observed to contain an admission agreement that was not filled out or signed which poses a potential personal rights risk to clients in care.

Maintain facility in clean, safe, sanitary condition

Based on observation, the licensee did not comply with the section cited above due to damage to the ramp exiting bedroom #3, the broken threshold at the bottom of the back patio door ramp, and the non-self-closing gate which poses an immediate safety risk to persons in care, as both the bedroom ramp and the back door ramp are emergency exits.

Safe, healthful, comfortable accommodations

Based on observation, the licensee did not comply with the section cited above, as 3 out of 3 total staff were not wearing masks when LPAs arrived at the facility which poses an immediate health risk to persons in care.