Mc Board & Care

Based on record review, the licensee did not comply with the section cited above in Resident #1 (R1) and Resident #2 (R2) did not have a tuberculosis test on file which posed a potential health and safety risk to two (2) out of six (6) persons in care.

87468.1 Personal Rights of Residents in All Facilities: (6) To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night... Based on observations, the licensee did not comply with the section cited above by not ensuring residents were being locked appropriately while in care by installing a steel rod into door, which poses an immediate health, safety, and personal rights risks to those in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that the two (2) bottles of cleaning solutions in Resident #4 (R4) closet, are locked and were not accessible to R4cwhich poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that Resident #1 (R1) and Resident #3 (R3) have a complete Physician Report with the required ambulatory status which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that Resident #1 (R1), Resident #2 (R2) have the required Centrally Stored Medication List maintained in their facility file which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that the facility has the current edition of a first aid manual approved by the American Red Cross, the American Medical Association or a state or federal health agency which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that medications shall not be gtransferred between containers as evidenced of pre-poured meications observed at the facility for Resident #4 (R4) which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above aloowing Resident #1 (R1) to have a half bed rail and not ensuring that R1 has a written order from R1 Physician indicating the need for half bed rail for mobility which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above by exceeding the approved waiver issued by CCLD as evidenced of three (3) residents observed on hospice care during the visit which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that there's a staff scheduled to work the night shift, awake and on duty as required for facility with dementia residents which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview, record review, the licensee did not comply with the section cited above by not ensuring that the two (2) sharp scissors observed in the kitchen cabinet were locked and not accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview, record review, the licensee did not comply with the section cited above by not ensuring that Staff #2 (S2) and Staff #3 (S3) complete the required six (6) hours of dementia training before S2 and S3 work independently with residents which poses an immediate health, safety or personal rights risks to resident in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that Staff #2 (S2) and Staff #3 (S3) complete the required additional six (6) hours of dementia training that must be completed within the first four weeks of employment which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that the facility has the required emergency supplies, emergency food and emergency water which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, record review, the licensee did not comply with the section cited above by not conducting the required emergency drill at the facility at least quarterly which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not reviewing the plan annually and not signing the Emergency Disaster Plan as required with signature date which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review), the licensee did not comply with the section cited above by not ensuring that the facility side fence gate is in good repair which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that there's a non-skid mat in Resident #2 (R2) bathroom which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, record review, the licensee did not comply with the section cited above by not obtaining the required building permit for the alteration made at the facility as evidenced of one (1) bedroom added in the living room which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, record review, the licensee did not comply with the section cited above by not ensuring that night lights are mainatined in hallways and passages to nonprivate bathrooms which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, record review, the licensee did not comply with the section cited above by not ensuring that there's no obstructions to exterior passageways as evidenced of broken bed, household appliances, and other woods and metals observed which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensurimng that Staff #2 (S2) and Staff #3 (S3) receive the required First Aid Training from persons qualified by such agencies as the American Red Cross which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above by not ensuring that Staff #2 (S2) and Staff #3 (S3) complete the required Health Screening Report which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview and record review), the licensee did not comply with the section cited above by not ensuring that Staff #2 (S2) and Staff #3 (S3) complete the required Tuberculosis (TB) test and have the required TB Test result maintained in their facility file which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not performing the required Pre-Admission Appraisal for Resident #1 (R1), Resident #2 (R2) and Resident #3 (R3) which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, record review, the licensee did not comply with the section cited above by not ensuring that Resident #2 (r2) and Resident #3 (R3) have the required Preplacement Needs and Services Plan which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not obtaining Resident #2 (R2) medical assessment or physician report prior to R2 admission at the facility and must have physician signature made within last year which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that Resident #1 (R1) has the complete Physician Report with the required primary diagnosis and secondary diagnosis which poses a potential health, safety or personal rights risk to persons in care.

Based on interview, observation, and document review, the licensee did not comply with the section cited above evidenced by S1 working at the facility for six (6) months without having a criminal record clearance which poses an immediate health, safety, or personal rights risk to persons in care.

Based on interview, observation, and document review, the licensee did not comply with the section cited above evidenced by not having staff records for S1, S2, and S3 which poses a potential health, safety, or personal rights risk to persons in care.

Based on interview, observation, and document review, the licensee did not comply with the section cited above evidenced by not having preadmission appraisals for R2 and R3 which poses a potential health, safety, or personal rights risk to persons in care.

Based on interview, observation, and document review, the licensee did not comply with the section cited above evidenced by not having an updated medical assessment for R4 which poses a potential health, safety, or personal rights risk to persons in care.

Based on interview, observation, and document review, the licensee did not comply with the section cited above evidenced by not making the knives inaccessible to the residents in care which poses a potential health, safety, or personal rights risk to persons in care.

Based on interview and observation, the licensee did not comply with the section cited above evidenced by R1 not having a light in their bedroom which poses a potential health, safety, or personal rights risk to persons in care.

Based on interview, observation, and document review, the licensee did not comply with the section cited above evidenced by S1, S2, & S3 not having a CPR certification which poses a potential health, safety, or personal rights risk to persons in care.

Based on interview, observation, and document review, the licensee did not comply with the section cited above evidenced by not having a needs and services plan for R2 and R3 which poses a potential health, safety, or personal rights risk to persons in care.