Sipos Ana Adult Foster Care

Based on documentation review and interview, the health care institution’s chief administrative officer failed to implement tuberculosis infection control activities that annually assessed the health care institution’s risk of exposure to infectious tuberculosis. Findings include: 1. A review of the facility’s annual TB facility risk assessment documentation revealed no completed documentation of a TB facility risk assessment. 2. In an interview, E1 reported not having a completed and documented TB facility risk assessment. 3. In an exit interview, the findings were discussed with E1, and no additional information was provided.

Based on record review and interview, the manager failed to ensure that a resident had a service plan that was signed and dated by the resident or resident’s representative, for one of two residents sampled. The deficient practice posed a risk if the service plan was not developed to articulate decisions and agreements. Findings include: 1. A review of R1's medical record revealed a service plan dated February 23, 2026, signed by R1 however, this service plan indicated R1 received directed care services. 2. In an interview E1 reported R1 signed R1’s service plan dated February 23, 2026 and that they were unaware a directed level care resident could not sign for themselves. 3. In an exit interview, the findings were reviewed with E1 and no additional information was provided.