Young Life Assisted Living 4

Based on documentation review, observation and interview, for a facility authorized to provide directed care services, the manager failed to ensure there was a means of exiting the facility that provided access to an outside area which allowed a resident to be at least 30 feet away from the facility and controlled or alerted employees of the egress of a resident from the facility. The deficient practice posed a risk if the facility was unaware of the general or specific whereabouts of a resident. Findings include: A review of Department documentation revealed the facility was licensed at the directed care level. During an environmental inspection of the facility, the Compliance Officers observed a door in the bedroom upstairs leading to a balcony giving access to the backyard. This door had no alert and was not controlled. On the main floor, another bedroom's door leading to the backyard was not controlled and had no alert. During the facility tour, the Compliance Officers observed a bedroom door and a kitchen door leading to the backyard with an alert that was not functioning at the time of the inspection. In an interview, E1 reported the locks were purchased and were supposed to be delivered soon. E1 acknowledged the doors were not controlled and did not alert the employees of the egress of a resident from the facility.