Stella's Care Home I

Health screening and fitness requirements

Based on record review, the licensee did not ensure that S1 had taken a TB exam prior to employment, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not ensure that quarterly emergency drills were conducted, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not ensure that an Appraisal of resident needs and services plan for R3 had been completed, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on interview and observation, the licensee does have a Carbon Monoxide detector but was unsure where it was located, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review and interview, the licensee has Liability insurance but could not provide proof of coverage during the Annual Inspection, which poses/posed a potential health, safety or personal rights risk to persons in care.

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not ensure that disinfectants, cleaning solution, and poisonous susbtances such as bleach were locked and in-accessible to persons in care, which poses an immediate health, safety or personal rights risk to persons in care.

Store disinfectants separately from food supplies

Based on observation, the licensee did not ensure that knives, and sharp objects(scissors) were locked up and in-accessible to persons in care, which poses an immediate health, safety or personal rights risk to persons in care.

Provide resident hot water for personal care

Based on observation, the licensee did not ensure that faucets delivered hot water between the temperatures of 105-120, which poses/posed a potential health, safety or personal rights risk to persons in care.

Keep bathing and hygiene facilities in operating condition

Based on observation, the licensee did not ensure that faucets in the upstairs were functioning properly which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee hired someone to do a CPR and First Aid training but no proof of the training(CPR and First Aid Certificates) could be found during the Annual Inspection, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee has conducted trainings on subjects such as locking of medications and Dementia but did not document the number of training hours per subject, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not conduct 8 hours of Dementia Care training and four hours of training which shall be specific to postural supports, restricted health conditions, and hospice care, which poses/posed a potential health, safety or personal rights risk to persons in care.

Separate storage for cleaning chemicals

Based on record review, the licensee did not ensure that food supplies and soap, detergents, and cleaning compounds are stored separately, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not record date and time of each contact with the physician, the physician's directions when assisting residents with self-administration of PRNs, which poses/posed a potential health, safety or personal rights risk to persons in care.

Record dose details and resident medication response

Based on record review, the licensee did not ensure that the date and time the PRN medication was taken, the dosage taken, and the resident's response shall be documented and maintained in the resident's facility record, which poses/posed a potential health, safety or personal rights risk to persons in care.

Complete admission suitability appraisal

Based on record review, the licensee did not ensure that R1 and R2 had Pre-Admission Appraisals completed prior to admission, which poses/posed a potential health, safety or personal rights risk to persons in care.

Complete admission suitability appraisal

Based on record review, the licensee did not comply with the section cited above in 2 resident pre-appraisals not completed prior to resident admission, which poses/posed a potential health, safety or personal rights risk to persons in care.

Complete admission suitability appraisal

*This is an Amended document*CCR 87457(c): Based on records review, the licensee did not comply with the section cited above in 1 out of 1 resident files, in which no appraisal of the resident's individual services needs was present, which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain facilities for fire and panic safety

Based on observation, the licensee did not comply with the section cited above in 3 out of 3 fire extinguishers, which poses an immediate health, safety or personal rights risk to persons in care.

Apply centrally stored medication safeguards

Based on observation, the licensee did not comply with the section cited above in 3 out of 3 medication cabinets were observed to be unlocked during LPA's visit, which poses an immediate health, safety or personal rights risk to persons in care.

Store centrally held medications in locked secure place

Based on observation, the licensee did not comply with the section cited above in 3 out of 3, which poses an immediate health, safety or personal rights risk to persons in care.

Review and revise record after changes

Based on records review, the licensee did not comply with the section cited above in 3 out of 3 resident files, which poses/posed a potential health, safety or personal rights risk to persons in care.