| 6400.62(c) | On 10/23/2023, at 10:00 AM, there was a pitcher of what appeared to be laundry detergent. This pitcher was not labeled nor was it the original container the laundry detergent was purchased in. | Poisonous materials shall be stored in their original, labeled containers. | Assistant Program Director that was present during inspection immediately removed the pitcher. Staff went and purchased laundry detergent in original container. Bulk laundry detergent removed from home. Business Coordinator informed to no longer purchase laundry detergent in bulk as staff are putting it in other non labeled containers. |
11/20/2023
| Implemented |
| 6400.112(d) | Individual #1 did not evacuate during the fire drills held on 6/28/2023, 7/24/2023, 8/29/2023, and 9/27/2023. | Individuals shall be able to evacuate the entire building, or to a fire safe area designated in writing within the past year by a fire safety expert, within 2 1/2 minutes or within the period of time specified in writing within the past year by a fire safety expert. The fire safety expert may not be an employe of the home or agency. Staff assistance shall be provided to an individual only if staff persons are always present at the home while the individual is at the home. | Individual #1 had script from Doctor to not participate in drills due to brittle bone disease and being on hospice. She is a hoyer lift and non weight bearing. |
11/20/2023
| Implemented |
| 6400.207(5)(III) | On 10/23/2023 at approximately 10:15 AM, Individual #1's bed contained bedrails that restricted the movement or function of Individual #1's body. These bedrails were not prescribed by a health care practitioner. On 10/23/2023 at approximately 10:25 AM, Individual #2's bed contained bedrails that restricted the movement or function of Individual #2's body. These bedrails were not prescribed by a health care practitioner. | A mechanical restraint, defined as a device that restricts the movement or function of an individual or portion of an individual's body. A mechanical restraint includes a geriatric chair, a bedrail that restricts the movement or function of the individual, handcuffs, anklets, wristlets, camisole, helmet with fasteners, muffs and mitts with fasteners, restraint vest, waist strap, head strap, restraint board, restraining sheet, chest restraint and other similar devices. A mechanical restraint does not include the use of a seat belt during movement or transportation. A mechanical restraint does not include a device prescribed by a health care practitioner for the following use or event: Protection from injury during a seizure or other medical condition, if the individual can easily remove the device or if the device is removed by a staff person immediately upon the request or indication by the individual, and if the individual plan includes periodic relief of the device to allow freedom of movement. | Individual #1 Requested Dr order for side rails up due to brittle bone disease and for protection from injury. Guardian is requesting them to be up also in written form.
Individual #3 Requested Dr order for side rails up due to cerebral palsy.
Staff continue to do bedchecks every 15 minutes for both individual #1 and #3. |
11/20/2023
| Implemented |