Angel's Guest Home #1

Based on LPA observation, record review, and staff interview, the licensee did not comply with the section cited above in that the Administrator did not have an up to date Administrator's Certificate which poses a potential health, safety or personal rights risk to persons in care.

Based on LPA observation, the licensee did not comply with the section cited above in 4 out of 4 residents did not have medications stored in originally received container which poses a potential health and safety risk to persons in care.

The facility shall be clean, safe, sanitary and in good repair at all times. ...maintenance services and procedures for ... employees and visitors. Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition.This regulation was not met as evidenced by: Based on LPAs observations the facility had accumalated clutter, and surfaces including counter tops and floors were observed to be unsanitary at the time of visit.This posed a potential health risk to 5:5 residnets in care.

Termination... upon death of resident; removal of resident’s property; refund of fees paid; notice of contract termination and refunds. A refund of any fees...covering the time after the resident’s... property has been removed ...shall be issued...within 15 days... Based on interviews the Licensee did not issue a refund upon the death of R1. This poses a potential personal right violation to 1 out of 6 residents in care.

All resident records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying....This requirement was not met as evidence by: Based on a records request the Licensee did not provide resident records to the Department.This posed a potential health and safety risk to 1 out of 5 residents in care.

87555 General Food Service Requirements (b)The following food service requirements shall apply: (27) All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. This requirement was not met as evidenced by: Based on LPA observations, Licensee had an infestation at the facility. This posed a potential health risk to 6 out of 6 residents in care.

87307 Personal Accommodations and Services (d)(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement was not met as evidenced by: Based on LPA observations, the licensee did not keep pathways free from obstruction. This posed a potential safety risk to 6 out of 6 residents in care.