St. Therese Elderly Care Facility

Store toxic and hazardous substances safely

Based on observation, the licensee did not comply with the section cited above in by not ensuring that potential toxic substances, gardening supplies placed in the gazebo and the potting soil on the pavement are stored properly so as not to pose a hazard to residents in care which poses an immediate health, safety or personal rights risk to persons in care

Based on record review, the licensee did not comply with the section cited above in by not conducting a drill at least quarterly for each shift, for the type of emergency, that vary from quarter to quarter (fire, earthquake, emergency disasters i.e. power outages) which poses/posed a potential health, safety or personal rights risk to persons in care.

Record findings for communicable tuberculosis conditions

Based on record review, the licensee did not comply with the section cited above in by not ensuring R5 does not have a comunicable tuberculosis prior to admission to the facility which poses/posed a potential health, safety or personal rights risk to persons in care.

Provide resident hot water for personal care

Based on obsservation, the licensee did not comply with the section cited above by not maintaining faucets used by residents to deliver hot water not more than 105 degree F to 120 degree F. When measured with a digital thermometer, the water in the kitchen faucet, bathroom 1 and 2 measured at 133 to 139.7 degree F, which poses an immediate 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 comply with the section cited above by not ensuring the laundry area containing cleaning solutions, and drawer containing knives and sharp objects are locked when not in use. LPA observed that the drawer with knives was kept unlock and no staff was present, which poses an immediate 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 by not completing appraisal needs and services plan (LIC 625) for resident 4 and 5 (R4 & R5) prior admission to determine the resident's suitability to the facility and other residents in care, which poses/posed a potential health, safety or personal rights risk to persons in care.

Provide resident hot water for personal care

Based on observation, the Administrator did not ensure hot water temperature at the sink faucet is in the range of 105 - 120 degree F. The hot water temperature was measured at 144.5°F in 1 of 1 bathroom sink faucets, which poses an immediate health, safety or personal rights risk to persons in care.

Request a transfer of criminal record clearance

Based on record review and interview, the Administrator did not ensure S2 is associated with the facility and S2 was observed to be assisting residents in care which poses an potential health, safety or personal rights risk to persons in care.

First aid training requirements

Based on record review, the Administrator did not ensure that S1 and S2 have current renewed first aid certificates which poses/posed a potential health, safety or personal rights risk to persons in care.

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

Maintain facility in clean, safe, sanitary condition

Based on observation and interview, the Administrator did not ensure garage is clean, organized, and not cluttered which poses/posed a potential 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 in 2 out of 2 bathrooms in which the water temperature was measured to be 141.1 *F, which poses an immediate health, safety or personal rights risk to persons in care.