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True or False:
The LPA observed a pool filled with ammunition and firearms.
There are 11 separate buildings used to accommodate living quarters with restrooms and showers for the clients. LPA inspected each building. LPA observed no pools or bodies of water. There is no ammunition or firearms. LPA observed that facility buildings are kept at a comfortable temperature.
Which of these caused a deficiency to be cited for this facility?
Based on testing the hot water temperature the licensee failed to ensure the temperature of the hot water is not less than 105 and not more than 120 degrees. Hot water was measured in the clients’ bathrooms of each building and all observed hot water measured in Building 7 at 134.1 degrees F and 137.1 degrees F, in Building 8 at 137.7 degrees F, in Building 9 at 125 degrees F and 128 degrees F, in Building 10 at 141 degrees F and 145 degrees F and Building 11 at 130 degrees F. A deficiency will be cited.
True or False:
LPA observed the toilets, hand washing and bathing facilities were safe and sanitary.
LPA observed the toilets, hand washing and bathing facilities were not safe and sanitary. The bathrooms in buildings, 1, 5, 6, 7, and 11 in need of deep cleaning of walls, shower/tub, faucets and fixtures. LPA also observed the tile floor in Building 11 is in need of repair. This poses a health and safety risk to clients in care. A deficiency will be cited.
Match this deficiency with the proper Plan of Correction.
Tableware and tables, dishes, and utensils shall be provided in the quantity necessary to serve the clients. There are currently 78 clients in care and only 48 bowls, 67 plates, 56 cups, 44 forks and 65 spoons to serve the clients. Interviews conducted with staff revealed there are no knives to properly cut the food being prepared.
| Deficiency Type / Section Number | DEFICIENCIES | PLAN OF CORRECTIONS (POCs) |
|---|---|---|
| Type A 10/24/2018 Section Cited CCR 87303(a) | MAINTENANCE & OPERATION (a) The facility shall be clean, safe, sanitary and in good repair at all times. This requirement is not met as evidenced by: LPA observed dust and grime throughout the facility in the client’s bathrooms. The bathrooms in buildings, 1, 5, 6, 7, and 11 are in need of deep cleaning of walls, shower/tub, faucets and fixtures. LPA also observed the tile floor in Building 11 is in need of repair. | Licensee will ensure the entire facility is thoroughly cleaned including but not limited to the client buildings, client bedrooms, client bathrooms. The licensee will also have the tile repaired or replaced. Proof of plan will be submitted to CCL by the POC date of 10/24/18. |
| Type A 10/24/2018 Section Cited CCR 80088(e)(1) | FIXTURES, FURNITURE EQUIPMENT AND SUPPLIES. Hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered to plumbing fixtures used by clients to attain a hot water temperature of not less than 105 degrees F and not more than 120 degrees F. This requirement was not met as evidenced by: Hot water was measured in the clients’ bathrooms of each building and all observed hot water measured in Building 7 at 134.1F & 137.1F, in Building 8 at 137.7F, in Building 9 at 125F & 128F, in Building 10 at 141F and 145F & Building 11 at 130F. | Staff lowered the hot water heater during the visit, however the water temperature remained above 120 degrees Fahrenheit. Licensee will ensure the water temperature is between 105F and 120F by testing the water temperature and submitting proof to CCL by the POC due date of 10/24/2018. |
| Type B 10/30/2018 Section Cited CCR 80076(a)(22) | FOOD SERVICE: Tableware and tables, dishes, and utensils shall be provided in the quantity necessary to serve the clients. This requirement is not met as evidenced by observation of the kitchen and dining room. The licensee failed to provide the quantity of bowls and dishes for the clients in care. There are currently 78 clients in care and only 48 bowls, 67 plates, 56 cups, 44 forks and 65 spoons to serve the clients. Interviews conducted with staff revealed there are no knives to properly cut the food being prepared. The facility is providing plastic plates, bowls. | The licensee will increase their supply of dishes and utensils in quantity to serve all the clients in care and submit proof to CCL by the POC due date of 10/30/2018. |
