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Inspection visit

Routine inspection

MOAILicense 3450028592 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 9/10/2024, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a required annual inspection visit utilizing the care tool. LPA met with Licensee/Administrator, Craig Fowler, and explained the purpose of the visit. During today's visit, LPA observed one caregiver present, census of two residents in care, with one resident on hospice services. Facility is licensed for five non-ambulatory, hospice waiver of three. File review conducted for three personnel records and two resident records. Records were not complete. LPA provided Licensee the following copies: HSC 1569.625 LIC 311F LIC 501 LIC 503 LPA and Licensee conducted a medication audit and observed R1's medication list to be outdated. LPA observed Trazodone 100mg present but with old physician order of Trazodone 50mg. LPA and Licensee discussed obtaining updated medication list and keeping all updated telephone orders on file. LPA and Licensee conducted a tour of the facility to ensure the health and safety of residents in care. LPA observed facility to have 2+ days of perishable and 7+ days of nonperishable foods. LPA observed cleaning supplies, medication and sharps to be stored inaccessible to residents in care. LPA observed fire extinguisher present with service date of 3/22/2024. LPA observed two residents in their private rooms resting. Additionally, LPA is requesting LIC 500 and liability insurance to be emailed to LPA by 9/17/2024. As a result of today's inspection, deficiencies were observed and cited. Please see LIC 809-Ds. Exit interview, a copy of the report and appeal rights was provided.

Citations

2 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.

  • 1569.625(b)(1)Type B

    Based on file review, the licensee did not comply with the section cited above as two personnel file did not have initial training documents on file, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(c)(2)Type B

    Give PRN medication by physician order

    Based on medication audit, the licensee did not comply with the section cited above as the dosage for Trazodone on file does not match the dosage on perscription bottle, 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 September 10, 2024 inspection of MOAI?

This was an inspection of MOAI on September 10, 2024. 2 citations were issued: 2 Type B.

Were any citations issued to MOAI on September 10, 2024?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "Based on file review, the licensee did not comply with the section cited above as two personnel file did not have initia..."

What type of inspection was this?

This was an inspection. Inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.