Ambiance Assisted Living

Based on observation and interview, the manager failed to ensure oxygen containers were secured in an upright position. The deficient practice posed a risk of a potential explosion or leak of a compressed gas. Findings include: 1. During the environmental tour, the Compliance Officer observed five oxygen containers in a resident room closet. Two of the containers were stored upright, but not secured. 2. In an interview, E4 acknowledged the oxygen containers were not secured in an upright position.

Based on documentation review, observation, and interview, for a facility authorized to provide directed care services, the manager failed to ensure there was a means of exiting the facility that provided access to an outside area from which a resident could exit to a location at least 30 feet away from the facility and controlled or alerted employees of the egress of a resident from the facility. The deficient practice posed a risk if the facility was unaware of the general or specific whereabouts of a resident. Findings include: 1. A review of Department records revealed the facility was licensed to provide directed care services. 2. The Compliance Officer observed five ambulatory residents. 3. At the beginning of the inspection, the Compliance Officer observed two residents using the sliding glass doors in the kitchen to access the backyard. However, the door was unsecured and the chime was not functioning. 4. During the environmental tour, the Compliance Officer found that the kitchen sliding door chime leading to the backyard was operational, however, it was barely audible to the Compliance Officer. E4 had to turn up the volume to make it audible. 5. During the environmental tour, the Compliance Officer observed the sliding glass door leading from the master bedroom to the backyard. This bedroom housed two ambulatory residents. The door was unsecured, and the door chime was not functioning. 6. In an interview, E1 acknowledged a means of exiting the facility to an outside area did not control or alert employees of the egress of a resident from the facility.