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Match this deficiency with the proper Plan of Correction.
The facility shall be kept clean, sanitary and in good repair at all times. The door of the client bathroom in the hallway was punched in by a client and is in need of repair.
| Deficiency Type / Section Number | DEFICIENCIES | PLAN OF CORRECTIONS (POCs) |
|---|---|---|
| Type A 06/24/2017 Section Cited 80087(a) | Buildings and Grounds. The facility shall be kept clean, sanitary and in good repair at all times. The vents in the hallway, kitchen and resident rooms need to be cleaned. They were blocked with dust at the time of visit. | Licensee shall ensure that all vents are cleaned and kept free of dust. The filters for the vents shall also be changed and kept clean. Proof of understanding shall be provided as well as certification that the vents have been cleaned. |
| Type A 06/24/2017 Section Cited 80087(c) | Buildings and Grounds-Buildings and Grounds. Outdoor and indoor passageways, stairways, inclines, ramps, open porches and other areas of potential hazard shall be kept free of obstruction. The slider door in Room #6 is very hard to open. | Licensee shall ensure that all doors are easily opened in case of an emergency. The slider door in Room #6 shall be repaired so that it opens easily for clients to exit in the event of an emergency. There is an exit directly outside the room, however the slider shall be repaired. |
| Type B 06/30/2017 Section Cited 80087(a)(1) | Buildings and Grounds-Buildings and Grounds. The facility shall be kept clean, sanitary and in good repair at all times. The Licensee shall take measures to keep the facility free of flies and other insects. The licensee is using bedroom doors for the doors in the breezeway, these doors do not seal and are not weather resistant. The doors could allow rodents and insects access as well as heat and rain. | Licensee shall immediately replace the doors with doors that seal and are weather resistant. Proof shall be provided to licensing that the doors have been replaced. |
| Type B 06/30/2017 Section Cited 80087(a) | Buildings and Grounds-The facility shall be kept clean, sanitary and in good repair at all times. The door of the client bathroom in the hallway was punched in by a client and is in need of repair. | Licensee shall repair the door and provide certification that it has been fixed. |
| Type B 06/30/2017 Section Cited 80088(f) | Fixtures, Furniture Equipment and Supplies. Solid waste shall be stored, located and disposed of in a manner that will not transmit communicable diseases or odors, create a nuisance, or provide a breeding place or food source for insects or rodents. Staff are throwing recycling cans and bottles on the ground behind a fence in the backyard. There are also a couple of mattresses, chairs, a couch and dresser drawers/nightstands that need to be disposed of or stored. They could provide a breeding place or food source for insects or rodents. | Licensee shall immediately remove the couch, mattresses and other furniture and provide certification that the items have been removed. Licensee shall also store the recycling in covered containers or bags. Cans, bottles and plastics shall not be thrown in the garden outside the home. |
True or False:
At the time of visit, the facility was operating within the conditions and limitations specified on the license, including waivers, exceptions, and ambulatory determinations.
At time of visit, the physical plant was in need of repairs. At the time of visit, the facility was operating within the conditions and limitations specified on the license, including waivers, exceptions, and ambulatory determinations. Fire extinguisher is present and charged in the kitchen and smoke detectors are present.
In areas of extreme heat the maximum indoor temperature shall be ____ degrees F less than the outside temperature.
Licensee and staff understand that they must maintain temperature in rooms that the clients occupy between a mimumum of 68 degrees F and a max of 85 degrees F. In areas of extreme heat, such as Riverside County, the maximum shall be 30 degrees F less than the outside temperature.
All Unusual Incidents/Death Reports are to be reported to CCLD within __________ of the incident.
Reporting requirements (LIC624/624a) All Unusual Incidents/Death Reports are to be reported to CCLD within 24 hours of the incident and a written report submitted within 7 days. Licensee shall ensure records of staff and clients are maintained for 3 years and are available for Licensing Program Analyst’s review upon request.
