Pleasant Valley Care Home

Based on record review and interview the manager failed to ensure a manager or a caregiver provides evidence of freedom from infectious tuberculosis (TB) as specified in R9-10-113, for three of three employees sampled. Findings include: 1 . A review of E1's personnel record revealed documentation of two TB skin tests. However, documentation of a TB screening questionnaire was not available for review at the time of inspection. 2 . A review of E2's and E3's personnel records revealed documentation of a TB skin test, E2 on January 9, 2022 and E3 on April 3, 2023. However, documentation of a second TB skin test and a TB screening questionnaire was not available for review at the time of inspection. 3 . In an interview, E1 reported E1 believed the facility was in compliance with current TB requirements. E1 acknowledged E1, E2 and E3 were missing TB documentation as required by R9-10-113.

Based on documentation review and interview, the manager failed to ensure the disaster plan required in subsection (A)(1) was reviewed at least once every 12 months. Findings include: 1 . A review of facility documentation revealed documentation of a disaster plan review was not available for review at the time of inspection. 2 . In an interview, E1 acknowledged documentation of a disaster plan review was not available for review at the time of inspection.

Based on observation and interview, the manager failed to ensure that poisonous or toxic materials stored by the assisted living facility were inaccessible to residents. Findings include: 1 . During an environmental inspection of the facility, the Compliance Officer observed a cabinet under a bathroom sink adjacent to a resident's room. The bathroom cabinet had a magnetic lock on it; however, the lock would not engage when the cabinet was closed. Inside the cabinet was two bottles of "Great Value" glass cleaner and a bottle of "Comet Classic" foam bath cleaner. 2 . During an environmental inspection of the facility, the Compliance Officer observed a cabinet under the kitchen sink. The cabinet had a magnetic lock on it, however the lock was broken, and unable to function. Inside the cabinet was a container of "Great Value" advanced dishwasher pacs. 3 . In an interview, E1 acknowledged the toxins in the cabinets were accessible to residents.