Georgia's Guest Home

87309 Storage Space and Access(a) ...the licensee shall ensure that disinfectants, cleaning solutions...which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Based on observation and interview, Licensee did not comply with the section cited above, as staff left a bottle of bleachon a wooden hutch in the dining room, which poses an immediate health, safety or personal rights risk to persons in care.

The licensee shall ensure that personnel records are maintained... Each personnel record shall contain the following information: (7) Past experience ...employers.(11) A health screening Based on file review, 1 of 4 files did not contain a health screening and 1 of 4 files did not have a job application or personnel record.

87411 (c)(1) Staff providing care shall receive appropriate training in first aid. This requirement was not met as evidenced by: Based on file reviews, 2 of 4 files reviewed did not have documentation of 1st aid certification.

All staff and volunteers providing direct care to a resident who has a contagious disease shall wear appropriate Personal Protective Equipment (PPE) to prevent exposure to infectious agents.... This requirement is not met as evidenced by: Based on interview, staff were not wearing a mask or gloves while in the presence of residents in care. This poses an immediate health, safety or personal rights risk to persons in care.

Personal Rights of Residents in all facilities. (a)Residents in all residential care facilities for the elderly shall have all other following personal rights: (2) To be accorded safe, healthful, and comfortable accommodations. This requirement is not met as evidenced by: Based on interviews, a client was allowed to wash dishes inadequately to the extent that staff had to wash dishes again to clean them.

87405 Administrator Qualifications and Duties All facilities shall have a qualified and currently certified administrator.This requirement is not met based as evidenced by Based on record reviews, there is not a qualified and certified administrator present at the facility. This poses an immediate Health, Safety or Personal Rights risk to persons in care.

87203 Fire Safety All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requiremet is not met as evidenced by: Based on observation, no smoke alarm was found in a client's bedroom which poses an immediate health, safety or personal rights riks to persons in care.

87303 Maintenance and Operation(a) The facility shall be clean, safe, sanitary and in good repair at all times. ... for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Based on observation, roaches were observed on the floor, chemicals, debris and powertools were observe as accessible to clients and fire extinguishers were on the floor instead of being braced on the wall.

1568.0822 (c)(3) The department shall assess an immediate civil penalty of five hundred dollars ($500) per violation...3. Absence of supervision, as required by statute and regulation.This requirement is not met as evidenced by: Based on observation, the licensee did not ensure alert and awake staff were present in the facility which poses an immediate Health, Safety or Personal Rights risk to persons in care.

Personnel Records 87412(g) (g) All personnel records shall be maintained at the facility and shall be available to the licensing agency for review.This requirement is not met as evidenced by: Based on record review, none of the requested documents were present in the facility as required. This poses a potential health, safety and personal rights risk to persons in care.

87468.2(4) Additional Personal Rights of Residents in Privately Operated Facilities...To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs... This requirement was not met as evidence by: Based on observation and interviews on 04/04/2024 care staff 1 left the facility and left residents alone for unknown time period. When LPA Martinez arrived at the facility there were no care staff. This posed an immediate health and safety risk to residents in care.

Employees assisting...with...medi- cation; training requirements (B) Two years...experience,.. as an administrator ...during which time the individual has acted in compliance with applicable regulations. This requirement was not met as evidenced by: Based on observa- tion, interviews and record review ,the licensee provided training to an employee while not in substan- tial compliance with applicable regulations.

87307 (d)(2) The premises shall be maintained in a state of good repair and shall provide a safe and healthful environment. This requirement was not met as evidenced by: Based on observation, interviews and record reviews, the licensee has not begun improvements to ensure facility is clean safe, sanitary and in good repair. This poses a potential health, safety or personal rights risk to persons in care.

87404 Administrator – Qualifications and Duties (d)(2) The administrator shall have ... Knowledge of and ability to conform to the ...regulations. This requirement was not met as evidenced by Based on LPA Martinez’s interview , R1 stated he needs help with his activities for daily living. R1 needs a higher level of care than he is receiving at licensee’s unlicensed facility. Which poses an immediate health, safety or personal rights risk to persons in care.

Section 1533 ..any authorized ... employee,... State Department of Social Services may, enter ...any place providing ..care and .. services .. to prevent a violation of, any provision of this chapter. This requirement was not met as evidenced by: Based on obser- vation, licensee did not ensure the unlicensed facility was accessible to authorized employees of the State Dept of Social Services.

87303(a) Maintenance and Operation. The facility shall be clean, safe, sanitary and in good repair at all times.This requirement is not met as evidenced by: Based on observation, interviews, and record review, the licensee did not maintain the facility in a clean and sanitary condition. The facility currently has evidence of bedbugs. This poses a potential health and safety risk to residents in care.

All facilities shall have a qualified and currently certified administrator. The licensee and the administrator may be one and the same person. The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility as specified in this section.This facility was found to be deficient as evidenced by not having a certified administrator on file at this time. This presented an immediate threat to the Health, Safety, and Personal Rights of the residents in care.

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This facility was found to be deficient as evidenced by having worn out, torn, and missing carpet throughout this facility.This presented an immediate threat to the Health, Safety, and Personal Rights of the residents in care.

Water supplies and plumbing fixtures shall be maintained as follows: (6) Toilet, hand washing and bathing facilities shall be maintained in operating condition. Additional equipment shall be provided in facilities accommodating physically handicapped and/or non ambulatory residents, based on the residents' needs. This requirement is not met as evidenced by:Based on observation, the licensee did not comply with the section cited above in that there were holes in the walls, issues with the plumbing fixtures, and toilets that needed to be repaired/replaced which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in that kitchen dishes, cookware, and utensils needed to be cleaned and maintained in a sanitary condition at all times which poses/posed 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 [4] out of [5] facility resident files did not have the required current First Aid training which posed immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in that syringes and lancets were left out in a kitchen cabinet that was unable to be secured making them accessible to all facility staff and residents alike which posed an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in that there were holes in the walls and items that needed to be repaired/replaced which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above since there were several window and door screens that were in need of repair/replacement due to having holes, rips, or tears in them which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above since resident bedroom furniture and furnishings were in need of repair. Drawers were missing handles, of off the rails and closet doors were off the rails or very difficult to slide open when needed which poses/posed 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 files did have contain the required updated annual training which poses/posed 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 [2] out of [5] facility resident files did not have the required health screening documents which posed 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] resident files which did not have an updated and completed Medication Administration Record which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in that kitchen cabinets, drawers, and storage units were in need of repair/replacement which poses/posed 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 [2] out of [2] facility designated Administrators' certificates were expired and no proof of updated certificates were made available for review at the time of this visit which posed 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 [2] out of [5] facility resident files did not have the required TB clearance which posed immediate health, safety or personal rights risk to persons in care.

General Food Service RequirementsThe following...requirements shall apply:All...areas shall be kept clean and free of litter, rodents, vermin and insects. This requirement is not met as evidenced by: Administrator did not ensure facility exterior and interior was free of litter and insects.Based on observations the team observed flies in the kitchen area as well as roach filled traps.This violation poses a potential health, and safety risk to residents in care.

Personal Rights of Residents in All FacilitiesResidents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by: Administrator did not ensure facility interior was safe and healthful for resident use.Based on observations the team observed bed bugs on the residents bedding.This violation poses a potential health, and safety risk to residents in care.

Based on observation, the licensee did not comply with the section cited above in a review of the facility window screens which were torn and contained rips which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in that the carpet in the common areas, as well as in the resident bedrooms were in need of replacement since they were ripped and worn. in addition, these areas carried urine and other unwanted odors which posed an immediate health, safety or personal rights risk to persons in care.

Maintenance and OperationThe facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This facility was found deficient as evidencedby the presence of flies throughout this facility in the common areas, resident bedrooms, and restrooms. This posed a potential threat to the overall health, safety, and personal rights of all residents in care.

Basic ServicesBasic services shall at a minimum include:Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance with taking prescribed medications, as specified in Section 87608. This facility was found deficient as evidenced by the staff not maintaining and making sure that the bedrooms were kept clean and free of any debris and pests. It was observed that bedding needed to be changed out with a need for housekeeping as well. This posed a potential threat to the overall health, safety, and personal rights of all residents in care.