ASUNCION BOARD & CARE

Official classification

Type B

Official code

87555(b)(27)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (27) All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. Based on observation the stove, refrigerator and kitchen cabinets in the kitchen was dirty with oil stains all over, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/05/2025 Plan of Correction Licensee is to ensure clean the kitchen appliances and kitchen cabinets. Proof / pictures will be send to LPA by POC due date.

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

Water supplies and plumbing fixtures shall be maintined as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not lee than 105 (degrees F (41 degree C) and not more than 120 degrees F (49 degree C). This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above. In all bathrooms water temperature is at 100.4 degrees F, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Water temperature was adjusted at the time of visit.

Deadline recorded: Mar 4, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Based on observation the licensee did not comply with the section cited above. Laundry detergents were observed unlocked next to washer and dryer, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Laundry detergents were locked at the time of visit.

Deadline recorded: Mar 4, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(a)(5)

Regulation authority

CCR

What the official deficiency says

Incidental Medical and Dental Care. (a) A plan for incidental medical and dental care shall be developed by each facility... (5) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidence by: Based on observation administrator did not ensure that R1's medications are listed in the MAR. R1's Folic Acid 1 mg and Aspirin EC 81 MG were present at the facility / prescribed by the doctor, but not listed / recorded on the MAR.

Official plan of correction

At the time of visit R1's medications added / recorded in the MAR. Licensee / administrator will ensure medication provided to the residents is recorded properly by staff on medication sheet. Licensee will conduct a medication in- service training and will provide a copy of the materials and the Sign in sheet before POC due date.

Deadline recorded: Mar 13, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(h)(4)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (4) All centrally stored medications shall be labeled and maintained in compliance with state and federal laws. No persons other than the dispensing pharmacist shall alter a prescription label. This requirement is not met as evidenced by: Deficient Practice Statement During medication review, LPA observed Resident #1 had Vitamin D3 and Calcium D3 medications which were not labeled. LPA also observed Resident #2 had " Kirkland " Aspirin which was not labeled. This poses a potential health, safety, and/or personal rights risk to the residents in care.

Official plan of correction

POC Due Date: 02/16/2022 Plan of Correction Administrator/Licensee to contact R1's and R2's Physicians to obtain written orders and labels for these medications by POC due date.

Official classification

Type B

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). This requirement is not met as evidenced by: Deficient Practice Statement During Physical Plant tour, LPA measured water temperature in bathroom #1 and bathroom #2 and water temperature measured between 101.7F - 101.8F which is below the required 105F - 120F.

Official plan of correction

POC Due Date: 02/09/2022 Plan of Correction Administrator/Licensee to ensure water temperature meets Title 22 Regulations. Licensee adjusted water temperature at the time of the visit. *POC Cleared*.