complaint·October 14, 2021

On 10/14/21, LPA Jones delivered findings. The allegation revealed the following. For allegation:(Facility failed to provide a safe environment for residents in care.) It is being alleged that the medication cabinet at the facility was always unlocked and the medications were accessible to the residents. During the visit on 09/02/21, LPA toured the facility and observed the medication storage room. LPA Jones observed the medication storage room locked and asked staff to get the key to open it. During the visit LPA interviewed the licensee, staff 2, residents 1-3 and attempted to interview residents 4 and 5 about the allegation. The licensee stated that she keeps the medication storage room locked and requires all of the staff to keep the room locked as well. Staff 2 revealed during her interview that she keeps the room locked at all times and keeps the key in pocket during her shift. Resident 1-3 said they do not know if the room is locked or not. Residents 1-3 stated that they do not go into the medication storage room. Residents 4 and 5 were unable to answer LPA's question due to medical diagnosis. For allegation: (Untrained staff). It is being alleged that the facility is allowing untrained staff to administer medication. LPA Jones interviewed the licensee about the allegation. The licensee revealed during her interview that all of her staff receive medication training before administering it to residents. The licensee provided LPA with copies of staff training on medication procedures for all of her staff including the staff who worked for the facility temporarily. Staff 2 revealed during her interview that when the facility has new staff, she will allow them to observe her but she will not allow them to administer medication. Staff 2 stated that she is not aware of any staff who administered medication without being trained. Staff 2 gave LPA a verbal and live demonstration on how she assist residents with medication and glucose checks. LPA interviewed resident 1- 3 and asked the residents if they knew the alleged untrained staff. Residents 1-3 stated they receive medications daily but didn't remember the staff LPA mentioned. Residents 4 and 5 were unable to answer LPA's question due to medical diagnosis. For allegation: (Facility allowed uncleared adult to work at the facility.) It is being alleged that the facility hired new staff to work for the facility without being finger print cleared. LPA interviewed the licensee about the allegation. The licensee denied the allegation and provided LPA with a staff roster for the months of July 2021-September 2021 with all of the finger print clearances. Staff 2 stated that she doesn't know anything about the fingerprint clearances because she doesn't work with the administrative part of the facility. S2 stated that her job is direct care only. Residents 1- 3 stated that all of the caregivers are nice and they did mention any new staff that assisted them. Residents 4 and 5 were unable to answer LPA's question due to medical diagnosis. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated. Exit interview conducted an a copy of the report was given to the licensee