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32 | [CONTINUED FROM LIC 809-C, 1 of 3] In the facility’s backyard: LPA observed two (2) gardening hand spades with metal blades and one (1) container of fertilizer, left out in the open, which LPA handed to staff to lock away. There was a collection of unused medical equipment (i.e., walkers, wheelchairs, and shower chairs) that had accumulated in the facility’s backyard, which LPA directed Licensee to relocate/discard, so to not interfere with residents'/visitors’ enjoyment of the premises.
Beyond this, the facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were working. Extra linens, hygiene supplies, and Personal Protective Equipment (PPE) were present. Night lights, flashlights, and facility telephone were all working. The First Aid Kit was complete with the required contents. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. There were no active fireplaces or open-faced heaters accessible to residents. No pools or bodies of water were observed on the premises. Per the Licensee, no firearms or ammunition are kept at the facility. Required licensing postings were observed in visible areas of the facility. Licensee presented proof of current business liability insurance.
The facility’s ambient internal temperature was complaint at 70 F. Hot water temperature at taps used by residents for grooming were initially too hot: Bathroom #1 Sink was 125.4 F and Bathroom #2 Sink was 128.1 F. (Regulation requires them to be between 105 F and 120 F). During today’s visit, adjustments were made to the facility’s water heater settings to bring these taps back into the complaint temperature range. Refrigerators and freezers used to preserve perishable food were compliant in temperature. There was at least two (2) days of perishable food, at least seven (7) days non-perishable food present, along with cooking/dining equipment and utensils. LPA observed the following food items (which ordinarily require cold-storage) being stored outside of the refrigerator: Celery, cabbage, eggs, and a prior-opened jar of mayonnaise. LPA provided corrective education to staff during today’s visit.
During a review of resident records, LPA observed, and manager interview confirmed: While R2 had a LIC602 Physician’s Report (“Medical Assessment”) that was filled out, it was not signed by R2’s physician, as required. Licensee did not have a completed LIC602 Physician’s Report for Resident #3 (R3), either. For R1, R3, and Resident #4 (R4), Licensee did not have written proof of a negative Tuberculosis (TB) test result or chest x-ray screening for the resident, which was required before move-in. [CONTINUED ON LIC 809-C, 3 of 3] |