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Inspection visit

Follow-up on corrections

LITTLE BROOK CARE HOMELicense 3450030042 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 8/1/24/24, Licensing Program Analyst (LPA) Kevin Mknelly, conducted a case management visit while delivering complaint findings and met with Administrator. On 1/16/24, the department received a complaint regarding R1. While the complaint findings were delivered for those allegations, additional deficiencies were found in the course of the investigation. LPA observed medications unattended during investigation visits on 5/23/24, caregiver dispensed medications to small cups on the kitchen counter and left the medications unattended to attend to a resident, and 6/11/24, a resident’s prescription nasal spray was on a kitchen counter. There are residents with dementia in care at the time. R1 had a LIC 602 in file that had identified it as having been for a prior facility with an examination date of 10/20/23 and a MD signature of 10/2023. The LIC 602 was not current for conditions for R1. R1 was admitted with pressure injuries that are noted to have begun in November 2023 that were not identified in the October LIC 602. As a result of this inspection, the following deficiencies were cited on 809-D, per Title 22 Regulations, Division 6. (A)This poses an immediate Health and Safety risk to clients/residents in care. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care. Report reviewed. Copy of report and appeal rights provided

Citations

4 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.

  • 87458(b)(2)Type B

    Medical Assessment (b) The medical assessment shall include, but not be limited to: (2) Documentation of prior medical services and history and current medical status… This requirement was not met by a review of records finding R1 had medical condition not identified in the LIC 602. This posed a potential risk to R1. This requirement was not met based on record review that found R1’s LIC 602 to was not current to medical conditions at admission.

  • 87465(h)(2)Type B

    Incidental Medical and Dental Care (h)The following requirements shall apply to medications. which are centrally stored:(2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.This requirement was not met based on observations on 2 occasions where medications were left unsecured,for a short time, in an accessible area to residents. This posed a potential risk to residents

  • 87211Type B

    Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as …: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence … (D) Any incident which threatens the welfare, safety or health of any resident, … This requirement was not met in two incidents for R1 that were not reported to CCLD. This posed a potential risk.

  • 87465Type A

    Incidental Medical and Dental Care- (e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician, on a prescription blank, maintained in the residents file, and a label on the medication. This requirement was not met based on records and interviews that found R1 did not have written orders, licensee did not confirm orders and licensee did not promptly administer medications when received.This posed an immediate risk to R1.

FAQ · About this visit

Common questions about this visit

What happened during the August 1, 2024 inspection of LITTLE BROOK CARE HOME?

This was a other inspection of LITTLE BROOK CARE HOME on August 1, 2024. 2 citations were issued: 2 Type B.

Were any citations issued to LITTLE BROOK CARE HOME on August 1, 2024?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "Medical Assessment (b) The medical assessment shall include, but not be limited to: (2) Documentation of prior medical s..."

What type of inspection was this?

This was a other inspection. other 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.