| 6400.163(d) | During the inspection conducted 9/28/2022 a first aid kit was identified on top of the medication cabinet, in the staff office, unlocked and accessible. The first aid kit contained the following bottles of over the counter medications: Acetaminophen 500mg tablet, Ibuprofen 200mg tablet, and Antacid chews. Individual #1 is assessed as unable to self-administer medications. | Prescription medications and syringes, with the exception of epinephrine and epinephrine auto-injectors, shall be kept in an area or container that is locked. | 6400. 163(d)
During the onsite annual inspection on 9/28/22, the department licensing representative identified medication in the first aid kit, acetaminophen, ibuprofen, and antacids. These medications are not specifically for the individual, but rather for general house use as part of first aid. However, the medications in the first aid kit are listed on the individuals master PRN list. The master PRN list is specific written order that their PCP has signed off permitting for general usage for specific alignments such as heartburn, pain, fever etc. Therefore, if the individual experiences such alignments, then they staff can view the written order, call on call and document administration. The first aid kit was in the staff office and not in an area accessible to the individuals. All individuals, although not self-administering medication, are assessed to be safe around, not ingest, touch or are otherwise inappropriate with ¿poisons¿ which include medications. |
09/28/2022
| Implemented |
| 6400.166(a)(3) | Individual #1's September 2022 medication administration record did not include initials of the person who administered the 9/28/2022, 7AM dose of the following medications: Lamotrigine 100mg tablet, Lamotrigine 25mg tablet, and Sertraline 100mg tablet. | A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Drug allergies. | 6400.166(a)(3)
Individual #1¿s September 2022 medication administration record did not include the direct service worker¿s initials for the 7a administration. The DSW did initial the blister pack indicating the medication was administered. Upon reviewing during the time of the onsite inspection on 9/28/22, the CEO login to review the electronic record and saw and showed the departments licensing representation that the DSW did and attempt to document on the agency¿s electronic documentation record. The agency takes medication administration seriously, because the DWS failed to insert their initials on the electronic medication administration record, the agencies and the PA medication administration policy documentations policy was reviewed on 9/29/22. |
09/29/2022
| Implemented |