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Which is the only activity provided to residents of the facility?
During today’s visit, LPAs discovered that there are no activities provided for residents other than mass that is provided by volunteer pastors. There is no staff dedicated to providing activities to the residents.
Why was Assistant Manager Nicole Kim hired?
Proof of English speaking staff and an updated LIC 308 had not been provided to Community Care Licensing (CCL). During today’s visit, LPA’s encountered Assistant Manager, Nicole Kim, who was hired because she is English and Korean speaking. Nicole has been working at the facility for 10 days.
True or False:
During the visit, LPAs observed soiled diapers in uncovered trash cans in two resident bathrooms and one resident who was soiled in her bed.
Solid waste shall be stored, located and disposed of in a manner that will not permit the transmission of a communicable disease or of odors, create a nuisance, provide a breeding place or food source for insects or rodents. During today’s visit, LPAs observed soiled diapers in uncovered trash cans in two resident bathrooms. LPAs also found one resident who was soiled in her bed.
Match this deficiency with the proper Plan of Correction.
The use of alternate concepts, programs, services, or procedures shall not be prohibited by these regulations provided that: Prior written approval of the licensing agency shall be received. The facility is using catering services for lunch and dinner without prior approval.
|Deficiency Type /|
|DEFICIENCIES||PLAN OF CORRECTIONS (POCs)|
|87307(a)(3)(A) Personal Accomodations and Services. A bed for each resident, except that married couples may be provided with one appropriate sized bed. Each bed shall be equipped with good springs, a clean and comfortable mattress, available pillow(s) and lightweight warm bedding. Fillings and covers for mattresses and pillows shall be flame retardant. Rubber sheeting shall be provided when necessary.|
In one room LPAs observed mattresses on the floor without bedframes or box springs. (room 114)
|Administrator agreed to either provide proper beds for the residents or submit an exception for the affected residents. Pictures or a request for exceptions will be submitted.|
Section Cited §1569.695(a)(2)
|§1569.695(a)(2) Emergency Plans. Plans for the facility to be self-reliant for a period of not less than 72 hours immediately following any emergency or disaster, including, but not limited to, a long-term power failure.|
There was no emergency supply of water.
|Administrator agreed to purchase water. A receipt of the purchase will be submitted.|
|87209(a)(3) Program Flexibility. The use of alternate concepts, programs, services, or procedures shall not be prohibited by these regulations provided that: Prior written approval of the licensing agency shall be received. |
The facility is using catering services for lunch and dinner without prior approval.
|Administrator agreed to submit a request for a waiver to use catering services.|