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TARR COTTAGE, stove burners and stove grill was greasy and dirty, ceiling vents need to be replaced, power outlet covers broken, guest restroom toilet was leaking water from the floor, and other unsafe things in the home that could pose an immediate danger, lights in bathroom above sink were missing and/or not working.
Regulation 80087(a) Buildings and Grounds. The facility shall be kept clean, sanitary and in good repair at all times. POOL AREA, pool chairs were torn and need to be replaced, Warning signs are faded and need to be replaced, Patio poles needs to be repainted, Drainage needs to be repainted and cleaned.
Client files are kept in locked files in the front office building in a locked file room. Client medication is kept securely locked in the locked nurses station in medical cart which is located in the front office building. All centrally stored medication was recorded and logged for all clients currently taking medication. The medication destruction log was also reviewed and found to be incomplete.
| Deficiency Type / Section Number | DEFICIENCIES | PLAN OF CORRECTIONS (POCs) |
|---|---|---|
| Type A 10/15/2018 Section Cited CCR 80088(e)(1) | 80088(e)(1) Fixtures, Furniture Equipment and Supplies. Hot water delivered to fixtures used by clients shall attain a hot water temperature of not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C). The water temperature in Wynn(135") & Tarr(130") was not within regulatory guidelines. Based on the water temperature testing the water was too hot and this poses an immediate Health and Safety risk to the residents in care. | The facility will adjust the water temperature so that it measures within regulatory guidelines (105'-120') and provide proof of correction to CCL on or before the POC date. |
| Type B 10/26/2018 Section Cited CCR 80087(c) | 80087(c) Buildings and Grounds. Outdoor and indoor passageways, stairways, inclines, ramps, open porches and other areas of potential hazard shall be kept free of obstruction. Based on the visual inspection of the Ceramics room, the door pathway is obstructed in the Ceramics room which may pose poses a Health and Safety risk to the residents in care. | The facility will clear the door pathway in the Ceramics room and provide proof of correction to CCL on or before the POC date. |
| Type B 10/26/2018 Section Cited CCR 80087(a) | 80087(a) Buildings and Grounds. The facility shall be kept clean, sanitary and in good repair at all times. Various building and grounds violations were observed throughout the facility: Based on the visual inspection of the facility these violations may possibly pose a Health and Safety risk to the residents in care. | The facility will repair the building and grounds violations provide proof of repair to CCL on or before the POC date. |
| Type B 10/26/2018 Section Cited ILS 87088(c)(1) | 87088(c)(1) An individual bed maintained in good repair; equipped with good springs and a clean mattress; and supplied with pillow(s) which are clean and in good repair. Based on the visual inspection of the bed in room #2 in the Gillette cottage the dirty box spring may pose possible Health and Safety risk to the residents in care. | The facility will repair the building and grounds violations provide proof of repair to CCL on or before the POC date. |
