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25 | ON 05/14/2024, Licensing Program Analyst (LPA) L. Salazar conducted a second Pre-licensing visit. LPA was greeted by Administrator and was granted entry into the facility. LPA conducted the inspection with Administrator using the Inspection Tool. A tour inside and outside the facility was conducted.Comp III was reviewed, and the following regulations were discussed:
Night Supervision: 87415
Persons providing night supervision (10 p.m. to 6 a.m.) for RCFE must be available to assist in caring for residents as required. Staff must be awake for dementia diagnosed residents.
Pre-Admission Appraisal: 87457
Licensee should conduct a pre-appraisal for each resident prior to resident’s admission into the facility.
The appraisal for each resident must be kept on file
Acceptance and Retention limitations:87455
Patients requiring 24hour, skilled nursing or immediate care in a health facility will not be accepted.
Prohibited Health Conditions: 87615
Licensee cannot accept persons who require inpatient care in a health facility or skilled nursing facility or depend on others to perform all activities of daily living.
Licensee cannot accept persons with conditions listed: Stage 3and 4 pressure injuries; gastrostomy tubes; naso-gastic tubes; tracheostomies; staph of other serious infection.
Food Service: 87555
Menus must be written at least one week in advance.
Copies of menus are served as dated and kept on file for 30 days.
Modified Diets as prescribed by a person in care’s physician must be provided to that person in care.
Planned activities: 87219
Licensee must provide planned activities, group interaction, social activities, physical activities.
Record Keeping
LIC 311 C
Administrator will notify licensing and send LIC 9020 (Resident roster) when first resident is accepted. Comp III completed. |