Constant Care Assisted Living of Arcadia

Based on documentation review and interview, the manager failed to ensure that a caregiver’s skills and knowledge were verified and documented according to policies and procedures. The deficient practice posed a risk if a personnel member was unable to meet a resident's needs. Findings include: 1. Review of the facility’s policies and procedures did not include a policy regarding the verification of a caregiver's skills and knowledge. 2. In an interview, E1 was asked to show the policy and procedure to verify skills and knowledge. E1 was unable to provide a policy at the time of inspection. 3. In an exit interview, the findings were reviewed with E1, and no additional information was provided.

Based on observation, documentation review, and interview, the manager failed to ensure medication was stored in a separate locked room, closet, cabinet, or self-contained unit. The deficient practice posed a risk to residents who were not prescribed the accessible medication. Findings include: 1. The Compliance officer observed a lock box in the kitchen refrigerator. The Compliance Officer was able to open the lock box because the locking mechanism was set to the code. Inside were the following medications: - Lorazepam 2 mg - Morphine Sulfate Oral solution 100 mg per 5 mL 2. Review of the facility’s policy and procedures revealed a policy titled, “Medication Administration," which stated, “6. All Resident medications must be secured in a locked storage area…” 3. In an exit interview, the findings were reviewed with E1, and no additional information was provided.

Based on documentation review, observation, and interview, the manager failed to ensure the means of exiting the facility for a resident who does not have a key, special knowledge for egress, or the ability to expend increased physical effort, controlled or alerted employees of the egress of a resident from the facility to the outside area allowing the resident to be at least 30 feet away from the facility. The deficient practice posed a risk if the facility was unaware of a resident's general or specific whereabouts. Findings include: 1. A review of Department documentation revealed AL9186 was authorized to provide directed care services. 2. The Compliance Officer observed R3's bedroom contained a door leading out to the backyard. The Compliance Officer observed the outside area, in the backyard, allowed residents to be a least 30 feet away from the facility. However, the door leading to the outside area did not control or alert employees of egress when the door leading out to the backyard was opened. 3. The Compliance Officer observed an additional door leading out to the backyard. The Compliance Officer observed the outside area, in the backyard, allowed residents to be a least 30 feet away from the facility. However, the door leading out to the backyard was not controlled and did not alert employees to the egress of a resident to the outside area. 4. In an interview, E1 acknowledged the doors leading to the outside areas did not control or alert employees of the egress.