Maple Ridge Assisted Living Community

Facility failed to ensure staff obtained a food worker card issued by the local health jurisdiction within 14 days of employment.

Facility failed to ensure character, competence, and suitability (CCS) reviews were completed prior to staff providing unsupervised access to residents.

Facility failed to ensure background check authorization forms were submitted within one business day of hire for 4 of 6 staff.

Facility failed to ensure valid national fingerprint background checks were completed for 4 of 4 staff reviewed.

Facility failed to ensure staff completed required orientation, 70-hour basic training, dementia/mental health specialty training, CPR/first aid, annual continuing education, and DOH credentialing within required timelines.

Facility failed to ensure 3 of 4 staff received TB skin testing within three days of employment.

Facility failed to prohibit smoking, vaping, or similar activities within 25 feet of entrances, exits, windows, and vents.

Gas appliances on casters in the kitchen are not limited by a restraining device.

Facility unable to provide documentation for the annual servicing of the emergency generator.

Multi-plug adapter without overcurrent protection in use in the library behind the TV.

Facility unable to provide documentation that annual fire door inspection was completed.

CO2 cylinders in the kitchen are not properly secured.

Extension cord used as permanent wiring in the library behind the TV.

Missing documentation for semi-annual kitchen suppression system servicing; 3 protective caps missing from discharge nozzles.

Missing documentation for 12 planned/unplanned fire drills in the previous 12 months; specific shifts missing in quarter 1.

Facility unable to provide documentation for semi-annual hood cleaning.

Missing documentation for monthly maintenance; multiple fire extinguishers due for 6-year testing.

Facility unable to provide documentation for annual fire door inspection (noted 06/26/24); marked corrected 08/08/24.

Missing documentation for annual generator service, weekly inspections, monthly load testing, and fuel quality test.

Facility unable to provide documentation for semi-annual hood cleaning (noted 06/26/24); marked corrected 08/08/24.

Facility unable to provide documentation for semi-annual kitchen suppression system servicing (noted 06/26/24); marked corrected 08/08/24.

Missing documentation for required twelve fire drills across various shifts (noted 06/26/24); marked corrected 08/08/24.

Facility unable to provide documentation that annual fire resistance rated construction material inspection has been completed.

Missing annual fire alarm test documentation, FACP blocked by storage, and system in trouble status (noted 06/26/24); marked corrected 08/08/24.

12x40 inch hole in ceiling of room 326 and two penetrations in maintenance office (noted 06/26/24); marked corrected 08/08/24.

Laundry room CO alarm failed test (noted 06/26/24); marked corrected 08/08/24.

Open junction boxes and electrical outlets without or with broken faceplates observed.

Extinguishers needed service and maintenance records were missing.

Excessive and unsecured oxygen and CO2 cylinders.

Facility failed to provide documentation for semi-annual hood cleaning.

Missing annual fire alarm documentation and smoke detector covered by rubber glove.

Failed to complete 12 required fire drills; multiple shifts missing documentation.

Fire-rated door would not close and latch automatically.

Missing documentation for monthly carbon monoxide detector testing.

Kitchen suppression nozzles not aimed properly and lacked service documentation.

Generator E-stopped, missing inspection documentation, and ATS 2 control screen inoperative.

The ABC and K-type fire extinguishers in the kitchen were used during a grease fire and require servicing.

The facility failed to notify and consult the primary care provider as ordered for one resident regarding excessive weight gain, failing to identify a significant change in condition.