West Valley Care Home.

“Based on documentation review, observation, and interview, the manager failed to ensure there was a means of exiting the facility for a resident who does not have a key, special knowledge for egress, or the ability to expend increased physical effort which provides access to an outside area which controls or alerts employees of the egress of a resident from a facility. The deficient practice posed a risk if the facility was unaware of the general or specific whereabouts of a resident. Findings include: 1 . A review of Department documentation revealed the facility was licensed for directed care services. 2 . During an environmental inspection of the facility, the Compliance Officer observed the front and back door of the facility leading to outside areas had alerts and no control. However, both alerts were turned off. 3 . In an interview, E1 reported the residents would turn off the alerts because they found them annoying. E1 acknowledged the alerts were turned off.”

“Based on observation and documentation review, the manager failed to ensure poisonous or toxic materials stored by the assisted living facility were maintained in labeled containers in a locked area separate from food preparation and storage, dining areas, and medications and were inaccessible to residents. Findings include: 1 . During an environmental inspection of the facility, the Compliance Officer observed a cabinet under the kitchen sink locked with magnetic locks. However, the key for the magnetic locks was sitting on the handle of an adjacent cabinet. The Compliance Officer was able to use the magnetic key to unlock the cabinet and access the following chemicals: -A bottle of "Windex" glass cleaner; -A can of "Sprayway" glass cleaner; -A Jug of "Fabuloso" multi-purpose cleaner; -A bottle of "Clorox" bleach; and -A container of "Member's Mark" dishwasher packs. 2 . In an interview, E1 acknowledged the toxins were accessible.”