Complaint·August 6, 2021

Citations

9 citations recorded^*CCLD

• 87309(a)Type A

  Ensure hazardous items are locked and not unattended

  Based on observation, the licensee did not comply with the section cited above. The licensee did not ensure all disinfectants were stored and locked away which poses an immediate health, safety or personal rights risk to persons in care.

• 87309(b)Type A

  Resident access to hazardous items with safety review

  Based on observation, the licensee did not comply with the section cited above. Licensee did not ensure the medication was locked and stored inaccessible to persons in care which poses an immediate health, safety or personal rights risk to persons in care.

• 87413(a)(1)Type A

  Coverage for absent regular staff members

  Based on observation,interview, record review, the licensee did not comply with the section cited above. Adminsitrator indicated there has not been night shift staff for 3 consecutive days. The live in staff are sleep at night and other staff are not on shift which poses an immediate health, safety or personal rights risk to persons in care.

• 87555(b)(26)Type A

  Onsite food stock levels for nonperishables and perishables

  Based on observation,interview,record review, the licensee did not comply with the section cited above in licensee did not ensure non perishable and perishable stored for up to 7 consecutive days which poses an immediate health, safety or personal rights risk to persons in care.

• 87555(b)(27)Type A

  Kitchen sanitation against contamination sources

  Based on observation, interview, record review, the licensee did not comply with the section cited above in licensee did not ensure that kitchen area and microwave were clean. Kitchen area contained dead flys on counter top which poses an immediate health, safety or personal rights risk to persons in care.

• 87555(b)(28)Type A

  Immediate disposal of contaminated food

  Based on observation, interview, record review, the licensee did not comply with the section cited above in the licensee did not ensure all food in freezer were properly labled. LPA observed meat in freezer inproperly packaged and containing freezer burn which poses an immediate health, safety or personal rights risk to persons in care.

• 87555(b)(7)Type A

  Modified diets for medical necessity

  Based on observation, interview, record review, the licensee did not comply with the section cited above. Administrator did not ensure all resdients meal plan needs are met which poses an immediate health, safety or personal rights risk to persons in care.

• 87616(b)(1)Type A

  Based on observation, interview,(record review, the licensee did not comply with the section cited above in licensee did not ensure all reports and records for all 9 residents were properly filled out and filed for clients needs which poses an immediate health, safety or personal rights risk to persons in care.

• 87355(b)Type A

  87355(b)Criminal Record Clearance. (b) Prior to the Department issuing a license, the applicant,administrator and any adults other than client, residing in the facility shall have a criminal record clearance or exemption.This is not met by evidence by: Based on observation and review licensee did not ensure that all staff have fingerprint clearance in order to work in the facility which poses an immediate health, safety, and personal rights risk for persons in care.