Sunny & Saima Assisted Living Homes

The facility failed to search the NAR and EMR annually.

The facility failed to have sufficient staff to ensure safe evacuation of the facility in the event of emergency.

The facility inappropriately admitted or retained residents whose needs could not be met.

The facility failed to establish and maintain an infection control policy and procedure designated to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of disease and infection.

The facility failed to search the employee misconduct registry and nurse aide registry before hiring to determine if the individual is unemployable.

The facility failed to ensure that a licensed person or a trained, authorized, and delegated person administered medications according to physician's orders.

The facility failed to ensure that all employees providing services were screened for tuberculosis within two weeks of employment and annually.

The facility failed to inspect, test, and maintain fire sprinkler system components.

The facility failed to ensure the required sprinkler system was inspected, tested, and maintained in compliance with NFPA 25.

The facility failed to ensure all monthly and yearly extinguisher inspections were performed and/or documented; and/or that unserviceable extinguishers were replaced.

The facility failed to ensure fire drills were conducted and documented to be in compliance with licensing standards for assisted living facilities.

The facility failed to ensure the smoke detectors were to be tested for sensitivity as required. The facility failed to provide all required fire alarm documentation, including as-built installation drawings, operation and maintenance manuals, and a written sequence of operation, must be available for examination by DADS.

The facility failed to provide the required sprinkler system to meet NFPA 13, 13D, 13R, or meet the requirements of Chapter 33.

The facility failed to ensure the building was kept in good repair.

The facility failed to comply with Chapter 33, Existing Residential Board and Care Occupancies.

The facility failed to ensure lighting levels were in compliance with licensing standards for assisted living facilities and the Illumination Engineering Society of May North America.

The facility failed to provide an initial gas pressure test of the gas lines from the meter; and/or failed to ensure additional gas pressure tests were performed when gas service was interrupted; and/or that all gas heating systems were documented

The facility failed to ensure an annual inspection was conducted by the local fire marshal.

The facility failed to ensure resident bedroom doors were in compliance with licensing standards for assisted living facilities.

The facility failed to ensure interior walls and/or ceilings were constructed with a material having at least a 20-minute fire rating, or at least 3/8 gypsum board.

The facility failed to ensure the fire alarm and smoke detection system was in compliance with licensing standards for assisted living facilities.

The facility failed to provide a written contract with a fire alarm firm to perform inspections, testing, and system maintenance at least every six months.