Young Family Care Homes and Investments, LLC.

“Based on documentation review and interview, the manager failed to ensure that policies and procedures were reviewed at least once every three years and updated as needed. The deficient practice posed a risk as policies and procedures reinforce and clarify standards expected of employees. 1. A review of policies and procedures revealed a document titled "Review timeframe for Policies and Procedure". It stated "The facility manager, will review and update the policy and procedures manual at least every three years or as needed." 2. Further review of the policies and procedures revealed they were last reviewed on March 26, 2018. 3. In an interview, E1 acknowledged that policies and procedures were not reviewed at least once every three years.”

“Based on a record review, interview, and documentation review, the manager failed to ensure that before providing assisted living services to a resident, a manager or caregiver provided current documentation of first aid training and cardiopulmonary resuscitation training certification specific to adults. Findings include: 1. A record review of E2's personnel file revealed a cardiopulmonary resuscitation(CPR) and First Aid card. However, the expiration date showed January 3, 2025. 2. In an interview, E1 acknowledged E2 had an expired CPR/First Aid card and did not have current documentation of first aid training and cardiopulmonary resuscitation training certification specific to adults.”

“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 provided access to an outside area which monitored or alerted employees of the egress of a resident from the facility. Findings include: 1. A review of facility documentation revealed the facility was licensed to provide directed care. 2. During an environmental inspection of the facility, the Compliance Officer observed residents using the back door. The Compliance Officer observed that the double door leading to the backyard had no alert. 3. In an interview, E1 acknowledged the double doors had no alarm to alert employees of the egress of a resident from the facility.”