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32 | In the kitchen area, LPA observed sufficient seven day non-perishable and two day perishable food supplies. Pantry was observed to be fully stocked with non-perishable food items. Proper storage of food items were observed. Kitchen refrigerator and freezer were maintained at regulatory temperature. LPA observed medications and lancet to be stored in a kitchen drawer that did not have a lock. Insulin medications and injections were observed in the kitchen refrigerator, not locked. Another medication, Mucinex, was observed in another drawer. Per S1, that belongs to a staff and immediately removed the medication and placed it in the staff room. Inside the kitchen dishwasher, LPA observed a knife and scissors and were not locked.
Outdoor area was inspected. LPA observed outdoor furniture for resident use. Emergency walkways were observed to be unobstructed. Fence and gate were in good condition. LPA provided advisory to place a ramp by the exit door to the patio. Per S1, she removed the existing ramp for her other facility, since current residents can ambulate. Per review of 3 of 3 resident’s LIC602A, all residents are non-ambulatory. S1 further stated that she will purchase one for this facility.
Advisory was also provided for S1 to ensure garage is not accessible to residents if they choose to store chemicals and other dangerous items in the garage.
Record Reviews:
Review of 3 of 3 resident files (R1, R2, R3) was conducted, include review of Admission Agreement, Physician Reports, Needs and Services Plan, Centrally Stored Medication Record and Ambulatory Status. Advisory was provided to ensure residents with restricted health conditions have their restricted health care plan. Advisory was also provided to Licensee to ensure each resident have PRN Authorization Letter signed by their physician. Medication review of 1 residents, include review of physician orders for over-the-counter medications.
Review of 3 staff files (S2, S3, S4) include review of background clearance, First Aid/CPR certificate, Health Screen, Initial and Ongoing Training. No issues were noted at this time.
LPA also reviewed fire drill/disaster drill records; facility conducts quarterly drill. Emergency Procedure Plan was reviewed. Advisory was provided to ensure Administrator will review the plan at least annually or as needed.
{LIC809-2}
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