Description: A licensee must provide the following appropriately furnished and equipped areas: secure, safe and adequate storage areas for cleaning agents, chemical products and other hazardous materials

Corrective Actions Required: Ensure laundry room doors are kept closed when they are not being used by staff.

Corrective Actions Taken By Licensee:

Actions Required By Licensing: Follow Up Inspection to be conducted.

To Be Corrected By: May 5, 2022

Observations: Licensing toured both floors of facility and observed Laundry room doors on both floors was left open. Manager stated policy is for doors to be kept shut.

Description: A licensee must keep, for each person in care, a record showing the following information: name, sex, date of birth, medical insurance plan number and immunization status

Corrective Actions Required: Ensure information for all immunizations is kept on file. If they dates are unknown, it can be documented as unknown.

Corrective Actions Taken By Licensee:

Actions Required By Licensing: Follow Up Inspection to be conducted.

To Be Corrected By: May 5, 2022

Observations: Licensing reviewed 6 resident files. Immunizations dates for FLU and COVID were on file, but no dates for Tetanus, Diphtheria or other immunizations.

Description: A licensee must ensure that a pharmacist packages all medications

Corrective Actions Required: Ensure all medications are packaged by a pharmacist.

Corrective Actions Taken By Licensee:

Actions Required By Licensing: Follow Up Inspection to be conducted.

To Be Corrected By: April 18, 2022

Observations: Licensing toured facility, and observed unlabeled bottles of supplements in medication carts.