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  • About DRA
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      • Directors and Managers
      • DRA Board of Directors
      • PAIMI Advisory Council (PAC)
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06/03/2022 Visit Compliance Report. Buildings & Grounds.

  • Licensing Specialist: Chelsea Vardell.
  • Facility visited from 12:30 – 15:15. One unit was closed due to the sprinkler flooding the unit. Licensing discussed the progress of the shower pans being replaced on the units. The maintenance staff reported that the second bid was placed on the installation of the shower pans today and that he must wait for a third bid to be placed. Once the third bid is placed, the building owner will pay to have the shower pans repaired. Licensing discussed ensuring that any showers with tile breakage not be used by residents until they can be repaired. Maintenance stated they will need an additional 30 days for repairs to be made as the original compliance date given for repairs was 6/8/22.
  • Regs out of compliance –
    • R907.3 – A unit was seen out of ratio (14:2). Staff reported only 2 staff were scheduled, but that they also have a floater that goes back and forth between 2 units. Licensing spoke with the CEO of the ratio concern and an additional staff was brought in from another unit. Due date and correction date: 6/3/22.
    • R910.1 – Dayrooms and bedrooms were seen with multiple snack and candy wrappers on the floor. The CEO stated the direct care staff are supposed to ensure that residents are cleaning their rooms each morning and afternoon. CEO reported he will follow up and ensure this is completed. Due date: 6/3/22.
    • R913.5 – Bed cover in room 301 had multiple blood stains. Staff working stated the resident had some kind of incident that morning. Licensing requested the bed cover be replaced with clean sheets and cover. Due date: 6/3/22.
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