Homestead at Montrose INC, the

A relicensure survey was completed on 5/28/25. Deficiencies were cited. Based on observation and interviews, the residence failed to comply with the Colorado Clean Indoor Air Act at Sections 25-14-201 through 25-14-209, C.R.S., affecting six current residents.1. ReferenceThe Colorado Clean Indoor Air Act, section 25-14-203 (7), defines "Entryway" as the outside of the front or main doorway leading into a building or facility that is not exempted from this part 2 under section 25-14-205. "Entryway" also includes the area of public or private property within a specified radius outside of the doorway. The specified radius may be determined by the local authority pursuant to section 25-14-207 (2)(a), but must be at least twenty-five feet unless section 25-14-207(2)(a)(II.. Based on record review and interview, the residence failed to obtain a check of the Colorado adult protective services (CAPS) data system for one of two sample staff (#1), affecting 23 current residents.Findings include:1. ObservationOn 5/28/25, observations revealed Staff #1 worked from 6:00 a.m. to 2:00 p.m.The residence' s schedule for 5/19/25 to 6/2/25 showed Staff #1 working 5/19 to 5/21, 5/27, 5/28, 6/1 and 6/2.2. Record reviewA review of the personnel file for Staff #1 hired 1/7/19, revealed no evidence of a CAPS check was performed.3. InterviewOn 5/28/25 at 3:00 p.m., the administrator said he was unaware if a CAPS check had been performed for Staff #1 and acknowledged it was a r.. Based on record review and interview, the residence failed to provide, upon request, access to requested documents, affecting 23 current residents.Findings Include:1. Record reviewa. requested itemsOn 5/28/25, the following items were requested:At 7:43 a.m., cardiopulmonary resuscitation (CPR) and first aid certification for all staff.At 11:57 a.m., personnel files for Staff #1 and #2.At 12:24 p.m., involuntary discharge grievance policy and visitation policy.At 1:42 p.m., CPR and first aid certifications for Staff #1 and six other staff membersAt 2:27 p.m., Colorado Adult Protective Services checks for Staff #1 and #2 and training prior to resident contact for Staff #1. b. Received itemsOn.. Based on record review and interview, the residence failed to retain written proof the administrator completed 40 hours administrator training.On 5/28/25 at 7:34 a.m., a request was made for proof of certification the administrator had completed 40 hours of administrator training. On 5/28/25 at 2:30 p.m., the administrator said he was unable to retrieve the certification for his completion of 40 hours for administrator training. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY.No response is necessary.The residence was advised it must review and maintain the following processes in accordance with existing program regulations found at 6 CCR 1011-1, Chapter 7.22.21 Designated outdoor smoking areas shall have fire resistant waste disposal containers.