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Inspection visit

Routine inspection

BETHESDA SENIOR CARELicense 3427005455 citations on this visit
5 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Talwinder Bains arrived on 08/17/23 to conduct the annual inspection. LPA met with administrator, David Bostanchyan and explained the purpose of today's visit. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed resident (2) and staff files (2). Facility was clean and well organized. All required posting were observed. LPA and Administrator toured the facility together to ensure the health and safety of residents in care. The areas toured included resident rooms, bathrooms, kitchen, and common areas and outside area. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. Grab bars were present at the toilet and in the shower. All exits were unobstructed. There is a side gate for emergency access. LPA checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked. LPA observed cleaning products and other toxins to be locked away. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Fire extinguisher is ready for emergency use. Hot water temperature was observed to be 116 degrees F, which is within the regulation range of 105-120 degree. LPA requested a copy of the LIC 500, LIC610E and current liability insurance to be sent to the Department by 08/31/23. Deficiencies are cited on LIC809D per Title 22. Exit interview conducted. Appeal Rights and copy of this report left at facility.

Citations

5 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87411(d)Type B

    LPA observed that S1and S2 does not have training records on staff's files per above requirement which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87412(a)Type B

    LPA found out that ,LIC501-Personal record form for S2, LIC508(Criminal Record Statement ) for S1 and S2 ,LIC9052 (Employee Rights) for S1 and S2 missing in staff's files. which poses a potential risks to residents in care for thier health and safety.

  • 87412(a)(11)Type B

    LPA observed that LIC503-Health Screening for S2 was missing in S2's file, which poses a potential risks to residents in care for thier health and safety.

  • 87458(a)Type B

    During record review, LPA observed that R1 file missing LIC602 form signed by thier doctor as required by this regulation which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87468(b)(1)(A)Type B

    During record review ,LPA observed that residents files for R1 and R2 missing LIC613 (Personal Rights) and Consent forms as required per regulation which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 17, 2023 inspection of BETHESDA SENIOR CARE?

This was a inspection inspection of BETHESDA SENIOR CARE on August 17, 2023. 5 citations were issued: 5 Type B.

Were any citations issued to BETHESDA SENIOR CARE on August 17, 2023?

Yes, 5 citations were issued (0 Type A, 5 Type B). The first citation was for: "LPA observed that S1and S2 does not have training records on staff's files per above requirement which poses/posed a po..."

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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