Sunny Side Care Home

Keep prescriptions in original containers

87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. Based on facility observation the licensee did not comply with the section cited above in 3 out of 3 resident medications which poses an immediate health and safety risk to residents in care. LPA observed 3 residents medications transferred from the original container to alternative storing methods.

Maintain records of centrally stored medication dosages

(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility.This requirement is not met as evidenced by: During review of residents medications for (R1) and (R2) LPA observed the Medication Administration Record (MAR) incomplete for 4 days. Which poses a potential health and safety risk to persons in care.

Keep prescriptions in original containers

Based on facility observation the licensee did not comply with the section cited above in 3 out of 3 resident medications which poses an immediate health and safety risk to residents in care. LPA observed 3 residents medications transferred from the original container to alternative storing methods.

Maintain records of centrally stored medication dosages

Based on observation and review the licensee did not comply with the section cited above for 2 out of 2 residents medications which poses a potential health and safety risk to persons in care. During review of residents medications for (R1) and (R2) LPA observed the Medication Administration Record (MAR) incomplete for 4 days.

Based on record review, more than one resident's preplacement appraisals were not completed or signed by the resident and/or their responsible party prior to admission, which poses a potential health, safety, and/or personal rights risk.

Obtain baseline medical assessment before resident admission

Based on record review, a resident did not have a medical assessment on file prior to admission to this facility, which poses a potential health, safety, and/or personal rights risk.

Perform physical examination with diagnosis and exam results

Based on record review, a resident did not receive tuberculosis test results during their medical assessment, nor did they receive results of a chest x-ray, which poses a potential health, safety, and/or personal rights risk.

Maintain records of centrally stored medication dosages

Based on observation and interview, complete centrally stored medication records were not maintained on each resident, which poses a potential health, safety, and/or personal rights risk.

Maintain fire clearance before retaining specified persons

Based on record review, this facility admitted a greater number of non-ambulatory residents than permitted by fire clearance, which poses an immediate health, safety, and/or personal rights risk.

Provide resident hot water for personal care

Based on observation, water temperature was not maintained within the required range, which poses an immediate health, safety, and/or personal rights risk,

Request a transfer of criminal record clearance

Based on record review and interview, two staff members worked without having criminal record clearance/association, which poses an immediate health, safety, and/or personal rights risk.

Maintain required personnel records for staff

Based on observation, two staff members did not have completed staff files on the premises upon arrival, which poses a potential health, safety, and/or personal rights risk.

Store disinfectants separately from food supplies

Based on observation, cleaning solutions were not kept in locked storage, as required, which poses an immediate health, safety, and/or personal rights risk.

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not ensure cleaners were locked up, which poses an immediate health, safety or personal rights risk to persons in care.

Based on record review and interview, the licensee did not ensure S1 was trained on medication administration prior to assisting with medications, which poses an immediate health, safety or personal rights risk to persons in care.

Based on record review and interview, the licensee did not ensure R1 had a current record of care on file as described above, which poses an immediate health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

"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 was not met as evidenced by LPA observation of the front yard, back yard, untrimmed grass, broken gate and sagging fence.

Maintain facilities for fire and panic safety

87203 Fire Safety. All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This was not met as evidenced by: Licensee did not ensure the Fire Marshall cleared the facility changes prior to making changes to the facility. LPAs observed the facility has changed the facility by dividing one room into two. Community Care Licensing (CCL) has not received an updated cleared facility sketch. This poses an potential health and safety risk to persons in care.

Health screening and fitness requirements

Based on LPA record review and observation, the licensee did not comply with the section cited above in which 2 out of 3 personnel files did not have Health Screening reports and TB test in accordance to Title 22, which poses an immediate health, safety or personal rights risk to persons in care.