Incident investigation·November 8, 2021

Citations

3 citations recorded^*CCLD

• 87211(a)(1)Type B

  Report specified resident events within seven days

  87211 Reporting Requirement(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days..This requirement was not met as evedience by: Based on observation and interview conducted on 9/23/21, supervisor Johnson did not notify CCLD that the elevator not working.This poses an immediate/Potential health & safety risk to residents in care.

• 87303(a)Type A

  Maintain facility in clean, safe, sanitary condition

  87303 Maintenance and Operation(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This requirement was not met as evidence by: Based on observation and interviews conducted, Licensee did not ensure elevator was accessible to residents in care. Administrator did not notify LPA that elevators was not in operations. This an immediate health and safety risk to clients in care.

• 87405(a)Type B

  Certified administrator requirements and substitute coverage

  87405 Administrator-Qualifications and Duties(a) All facilities shall have a qualified and currently certified administrator. The licensee and the administrator may be one and the same person. The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours to permit adequate attention to the management.This requirement was not met as evidence by. Based on observation and interview conducted on 11/4/21 Administrator did not know where the client roster and could not provide request information to LPA.This is a potential risk to residents in care.