Golden Age Inc.

Ensure hazardous items are locked and not unattended

87309 Storage Space - (a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This regulation has not been met as evidenced by: Based on facilty observations, LPA observed cleaning solutions stored below resident bathroom sink, on the upper level. This poses an immediate health and safety risk to residents in care.

Store centrally held medications in locked secure place

87465 Incidental Medical and Dental Care (h)(2) - The following requirements shall apply to medications which are centrally stored: 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 regulation has not been met as evidenced by: Based on facilty observations, LPA observed prescribed medications such as insulin and eye drops in an unlocked refrigerator of the facility in the main kitchen. This poses an immediate health and safety risk to residents in care.

1569.618(c)(3) Administration and management of residential care facilities; substituted qualifications; employee scheduling - (c) The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This health and safety code has not been met by: Based on staff file review observations, LPAs discovered that no staff on duty have first aid or cpr training on file. Per interview with administrator/licensee, he was unaware that the facility had to maintain first aid/cpr any longer.

§1569.695 Emergency Plans(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is notrequired during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This health and safety code has not been met as evidenced by: Based on documentation reviewed, LPA observed that there is no disaster drill log present. Per interviews with staff, a disaster drill has not been conducted in about a year. This poses an immediate health and safety risk to residents and staff in the facility.

Ensure hazardous items are locked and not unattended

87309 Storage Space - (a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This regulation has not been met as evidenced by: Based on facilty observations, LPAs observed cleaning solutions stored below resident bathroom sinks, on both the upper level and lower level. This poses an immediate health and safety risk to residents in care.

Provide resident hot water for personal care

87303(e)(2) Maintenance and Operation (e)(2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). This regulation has not been met as evidenced by: Based on physical plant tour and water temperature taken in common hallway bathroom, the water temperature was measured at 133F which poses an immediate health and safety risk to residents in care.

CRIMINAL RECORD CLEARANCEA licensee may request a transfer of a criminal record clearance from one state licensed facility to another by providing the following documents to the Dept:A signed LIC 9182 & a copy of the individual's valid photo ID issued by the U.S. government. This requirement was not met, as staff R.S. is present & providing care to clients, but does not have criminal record clearance & association to facility. Licensee failed to ensure that criminal record clearance & association are maintained for staff who provide care to clients, which poses an immediate health & safety risk to clients in care. LIC421 issued to assess $100 civil penalty.

Reporting requirements

REPORTING REQUIREMENTSLicensee shall furnish to CCLD reports, including written report within 7 days of the occurrence of an epidemic outbreak, which threatens the welfare, safety or health of residents, personnel or visitors. Report shall be made within 24 hours either by telephone or fax to CCLD & to the local health officer when appropriate. Report shall include the resident's name, age, sex, date of admission; date & nature of event; attending physician's name, findings, & treatment, if any; & disposition of the case. This requirement was not met, as 4 clients with Covid infection were not reported to CCLD in January 2021, which posed an immediate health & safety risk.

Based on observation during facility tour, the licensee did not comply with the section cited above, as wood gate on side of house is padlocked from street side, which poses an immediate health, safety or personal rights risk to persons in care. This is one of two exits to street from backyard.

Based on observation, during facilty tour, the licensee did not comply with the section cited above, as there is an additional bedroom, bathroom, elevator and hallway, which do not appear on facility sketch of 2010 and were added after initial licensure. Per administrator, he has not obtained building permits or city planning approval.This poses a potential health, safety or personal rights risk to persons in care.