A Faithful Home

Based on file review, the licensee did not comply with the section cited above for two out of two staff in which the LIC503s were missing which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, S2 did not comply with the section cited above as S2 did not remove the right glove and wash hands after changing the diaper of R6 and used their hands to open a locked kitchen cabinet which poses an immediate health, safety or personal rights risk to persons in care.

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

Based on Licensing Program Analyst file review, the licensee did not comply with the section cited above in three of four dementia residents which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and file review, the facility failed to keep the centrally stored medication in a safe and locked place that is not accessible to residents in care, other than employees responsible for the supervision of centrally stored medication. LPAs observed a total of 33 bottles of both sealed and unsealed medication in resident #1's room. This poses an immediate threat on the health and safety of the residents in care.

Based on observation, facility failed to keep residents room clean and odor free from incontinence. LPAs noted a strong offending odor in a room shared by resident #2 and #3. This poses potential threat on health and safety of residents in care.

Based on observation, the facility did not maintain the knives, over-the-counter medication, cleaning supplies and disinfectants inaccessible to residents with dementia. LPAs observed knives in an open drawer, over-the-counter medication in resident's drawer, and cleaning supplies and disinfectants in a garage with open door. This poses an immediate threat in health and safety of residents in care.

Based on observation, facility did not maintain the fire clearance approved by County Fire Department. At 11:28 AM, LPAs observed locked padlocks on both backyard exit gates. Observation verified with House Manager. This poses an immediate threat on safety of residents in care.