Sleepy Hollow Assisted Living

87109 Transferability of License(b)The licensee shall notify the licensing agency and all residents receiving services, or their representatives, in writing as soon as possible and in all cases at least thirty (30) days prior to the transfer of the property or business... This requirement is not met as evidenced by: Based on interview & record review, the licensee did not comply with the section cited above in the licensee did not notify Community Care Licensing within thirty (30) business days of the transfer of the facility to a Limited Liability Corporation which poses a potential health, safety or personal rights risk to persons in care.

Ensure hazardous items are locked and not unattended

87309(a)Storage Space and Access-Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement was not met as evidenced by: LPAs observed a facility bathroom that is under renovations unlocked, making tools stored in the bathroom accessible to residents in care, and observed trip hazards, a lip of some tile fitted on the floor, and the hole in the floor where the toilet was removed. There is no door knob lock on the bathroom door leaving all accessible to residents in care. This is a health & safety risk to the residents in care. LPA obtained photos.

87465(h)(1)(C )(2) Incidental Medical and Dental Care- Because of potential dangers related to the medication itself, or due to physical arrangements in the facility and the condition or the habits of other persons in the facility,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 requirement was not met as evidenced by: LPAs observed numerous over-the-counter medications on R2's side bed table in their room. Resident's medications are provided by staff assistance. Resident does not centrally store and/or handle own medications, per interviews. This is a health & Safety risk to residents in care. LPA obtained photos.

LPAs observed that the facility lacked an adequate emergency food supply as required by the health and safety code, the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to persons in care.

LPAs' observed the staff room on the first floor unlocked, which had cigarettes, matches, and over the counter medications left accessible to residents in care. LPAs observed second floor staff room unlocked, which had numerous bottles of alcohol and disinfectants/cleaners left accessible to residents in care, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

LPAs observed a hallway entry with the floor’s wooden transition strip with a large chunk missing which has created a health & safety hazard for potential to trip and/or fall, an outlet in a resident room is missing, the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to persons in care.

LPAs observed that the facility had no complaint poster up and visible per regulation requirement, the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to persons in care.