Pacific Care Home

(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 regulation has not been met as evidenced by: Based on facility records reviewed, the facility last conducted an emergency disaster drill on 02/24/2024. This poses a health and safety risk to residents in care.

Based on staff training records review, the licensee did not comply with the section cited above in 4 out of 5 staff records reviewed, which poses a potential health, safety or personal rights risk to persons in care.There is no evidence that staff 1, 2, 3, 4 have received required annual training on postural supports and restricted health conditions

Based on client records review, the licensee did not comply with the section cited above, as 2 out of 4 clients diagnosed with dementia do not have current medical assessment and/or appraisal on file, which poses a potential health, safety or personal rights risk to persons in care.Client #1 has appraisal dated 11/21 and client #6 has appraisal dated 9/20 and MD report dated 8/20.