Loving Hearts Care Home 111

Personnel Requirements - General(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. [....]Based on record review, self-incident report, and interviews conducted with R1, caregivers, and Licensee/Administrator, R1 eloped without staff knowledge. The facility did not comply w/section above to address behaviors such as wondering for R1 which poses an immediate Health, Safety risk to residents in care.

Based on observation, the licensee did not comply with the section cited above in 2 out of 2 exits 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 5 out of 5 staff files reviewed which poses a potential 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 5 out of 5 staff records reviewed which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above in 3 out of 5 medications spot checked which poses a potential health, safety or personal rights risk to persons in care.

87309(a) STORAGE SPACE - 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 requirement was not met as evidence by: unlocked chemicals accessible to residents. In addition, LPA found a knife and a pair of scissors located in an unlocked kitchen drawer. Unlocked cleaning supplies in bathroom, laundry room and under kitchen sink. Wheelbarrow with tools in backyard all accessible to residents in care. This poses as an immediate health and safety risk to residents in care.

87355(e)(2) Criminal Record Clearance. Prior to working, residing or volunteering...all individuals subject to a criminal record review shall request a transfer of a criminal record clearance from another facility or Trustline.This requirement is not met as evidenced by: Based on LPA record review the faciltiy failed to ensure S1 have a finger print clearance before working in the faciltiy which poses an immediate health and safety risk to clients in care.

(e)Water supplies and plumbing fixtures shall be maintained as follows: (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). Based on observation the licensee failed to have hot water temperature between 105 & 120 F in 2 resident's bathrooms which poses an immediate Health, Safety risk for residents in care. LPA observed that hot water temperatures were 134.7.degrees F and 132.4 degrees F.