Licensing Specialist: Kendra Rice
Census: 18. Licensing Specialist completed buildings and grounds. The following areas were observed: grounds, dining room, dayroom, bathrooms, seclusion room, butterfly room, and nurse’s station. Ratio 1:1, a staff member and resident were walking through the area. Other residents were at school.
Grounds had parked cars and vans by kitchen area. Fallen leaves were on the ground. Licensing Specialist was escorted by Summer Berryhill, Director of Quality and Risk Mgmt.
Licensing observed the ratio (1:1) entering PRTF area,. All rooms observed were recently cleaned by housekeeping. At nurse’s station, Licensing observed staff charting and filing. Nurse Cindy escorted Licensing to the Observation Room were the medication cart is kept. Licensing reviewed the MARs. All initialed and up to date. Licensing was provide a copy of the 12/2023 activity calendar.
Licensing Specialist reviewed 3 children’s files. All files reviewed complied with minimum licensing standards.
Licensing reviewed 4 personnel files. T/A 105.15h (at least 3 positive personal references from non-relatives) – only had one reference verified. Facility was encouraged to request more references to verify. Other personnel files reviewed complied with minimum licensing standards.