J and V Family Care Home

Maintain separate complete record for each resident

87506(a) Resident Records. A separate, complete, and current record shall be maintained for each resident in the facility, readily available to facility staff and to licensing agency staff and shall contained specified information. This regulation has not been met as evidenced by: Based on resident files reviewed, resident #5 and #6 do not have current physicians reports. Both residents reports are over 1 year old with no updated assessments or reports on file. This poses a potential health and safety risk for residents in care.

§1569.695 (c) Emergency Plans - 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 not required 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 evicenced by: Based on facility records reviewed, and discussion with administrator, the facility does not have a record of the last emergency drill conducted. This poses a potential health and safety risk to residents in care.

Provide resident hot water for personal care

MAINTENANCE AND OPERATIONFaucets 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 observations made, the licensee did not comply with the section cited above, as hot water temperature in clients' bathroom tested at 130 degrees F, 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 comply with the section cited above, as hot water temperature in clients' bathroom tested at 129 degrees F, which poses an immediate health, safety or personal rights risk to persons in care.

Personal rights of residents in all facilities

Based on observation, the licensee did not comply with the section cited above, as both wood gates that lead from backyard to street are locked. This poses an immediate health, safety or personal rights risk to persons in care.One gate is secured with a padlock. The other has 2 nails driven into the wood post so gate cannot be opened.Per staff, gates were secured to prevent a resident from wandering out of facility.in [count] out of [total count] [(objects) (persons)] [identifiers] which poses an immediate health, safety or personal rights risk to persons in care.

Living accommodations aligned with facility function

Based on observation, the licensee did not comply with the section cited above, as staff are sleeping in garage. There is a makeshift bed in garage and personal items of staff. This poses a potential health, safety or personal rights risk to persons in care.

Keep prescriptions in original containers

Based on observation of medications in kitchen cabinet, the licensee did not comply with the section cited above, as 2 out of 5 residents' medications are prepared 7 days in advance. Pills are observed in 7-day plastic pill dispenser. This poses a potential health, safety or personal rights risk to persons in care.Medicatiions for clients #1 and #3 are prepared 7 days in advance.

Facility personnel sufficiency and competence

PERSONNEL REQUIREMENTS - GENERALFacility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.This requirement was not met, as staff referenced on LIC812 failed to provide EMTs with acccurate client information on 6/21/22 during medical emergency of R5. Licensee failed to ensure that staff were competent to meet resident's needs, which posed an immediate health, safety and personal rights risk to clients in care. Because this error may have contributed to R5 death, LIC421M issued to assess immediate $500 civil penalty.

Maintain facility in clean, safe, sanitary condition

Based on observation, the licensee did not comply with the section cited above, as there are no individual signs for infection control reminders: face coverings, social distancing, cough etiquette, and frequent hand washing, including signs at all hand washing sinks. This poses a potential health, safety or personal rights risk to persons in care.