The Cottages at University Place.

Plan of Correction The Cottages at Univers~y Place Completion Oate WAC 388-112A.()710 What Is CPR/first-aid training? CPR/first-aid training Is training that meets the guidelines established by th• Occupational Safety and Health Administration (OSHA). Under OSHA guldelln••• training must Include hands on skills development through tht use of mannequins or train•• partners. This requlr11111entwas not met H evidenced by: Based on record review and interview, the Assisted Living Facility (ALF) tailed to ensure 3 of 5 staff (Staff C, E, and F) had taken a (cardiopulmonary resuscitation) CPR or first-aid class that required hands on demonstration of skills. This failure placed all 50 residents at risk of receiving care from unqualified staff during a potential life threatening emergency. Findings included ... Staff C, Caregiver was hired on 02/2012024 as a caregiver. Staff C's personnel file showed she had taken a CPR course on 10/25/2023 that did not require her to demonstrate skills. Staff E, Medication Technician was hired on 04118/202.2 as a medication technician. Staff E's personnel filed showed she had taken a CPR course on 05/14/2024 that did not require her to demonstrate skills. Staff F, Caregiver was hired on 12/13/2021 as a caregiver. Staff' F's personnel file showed she had taken a first-aid class on 05/14/2024 that did not require her to demonstrate skills. During an interview on 05/20/2024 at 11 :30 am., Staff A, Administrator said the CPR and first-aid classes taken by Staff D, E, and F were computer-based trainings and did not include the demonstration of skills. Pan/Attestation Statem•nt I hereby certify that I have reviewed this report and have taken or Will take active measures to correct this deficiency. By taking this action, The Cottages at University Place is or I be in ompliance with this law and I or regulation on (Date)__,........,4--"'_.__ In addition, I will implement a system to monitor and ensure continued compliance with this requirement. Statement of Deficiencies License #: 2418 Compliance Determination # 41130 Plan of Correction The Cottages at University Place Completion Date Administrator (or Representative) Date WAC 388-112A-0710 What is CPR/first-aid training? CPR/first-aid training is training that meets the guidelines established by the Occupational Safety and Health Administration (OSHA). Under OSHA guidelines, training must include hands on skills development through the use of mannequins or trainee partners. This requirement was not met as evidenced by: Based on record review and interview, the Assisted Living Facility (ALF) failed to ensure 3 of 5 staff (Staff C, E, and F) had taken a (cardiopulmonary resuscitation) CPR or first-aid class that required hands on demonstration of skills. This failure placed all 50 residents at risk of receiving care from unqualified staff during a potential life threatening emergency. Findings included... Staff C, Caregiver was hired on 02/20/2024 as a caregiver. Staff C's personnel file showed she had taken a CPR course on 10/25/2023 that did not require her to demonstrate skills. Staff E, Medication Technician was hired on 04/18/2022 as a medication technician. Staff E's personnel filed showed she had taken a CPR course on 05/14/2024 that did not require her to demonstrate skills. Staff F, Caregiver was hired on 12/13/2021 as a caregiver. Staff' F's personnel file showed she had taken a first-aid class on 05/14/2024 that did not require her to demonstrate skills. During an interview on 05/20/2024 at 11:30 am, Staff A, Administrator said the CPR and first-aid classes taken by Staff D, E, and F were computer-based trainings and did not include the demonstration of skills. Plan/Attestation Statement I hereby certify that I have reviewed this report and have taken or will take active measures to correct this deficiency. By taking this action, The Cottages at University Place is or will be in compliance with this law and / or regulation on (Date)________________ . In addition, I will implement a system to monitor and ensure continued compliance with this requirement. . Statement of Deficiencies !License #::. 2418 Compliance Det.ermination # 41130 Plan of C onection The C oUa ge s at U n iv er sily Place Completion Date Administrator (or Representative) Date WAC 388-11I2A-071I0 What is CIPRJfirst-aid traiiniing? CPR/first-aiid t1raini1ng iis tr:aii1niing t1hat meets the guidelines established lby the O,ccuIpatio1nal Safety and Health Adminiistratfo1n (OSHA). Under OSHA guidelines, training must ii1nclude hands on skiillls deve1loIpm e:nt t1hrough tlhe use of mannequins or trainee paIrtners. Thiis require:rn ent was Inot m1e t as evidejnced by: Based on record review and inteiview, the Assisted Living Facility (ALF) failed to ensure 3 of 5 staff (Staff C, E, and F) had taken a (cardiopulmonary resuscitation) CPR or first-ai class that required hands on demonstration of skills. This fai ure placed all 50 residents at risk of receiving care from unqua ified staff dur1ng a potential lifo threatening emergency. F·ndings included ... Staff C, Caregiver was hired on 02/2012024 as a careg·ver. Staff C's personnel file showed she had taken a CPR course on 10/25/2023 that dlid not require her to demonstrate skillls. Staff E, Medication Technician was hired on 04118/2022 as a medication technician. Staff E's personnel filed showed she had taken a CPIR course on 05/14/2024 that did not re qui e her to demonstrate skills. Staff F, Caregiver was hired on 12/13/2021 as a caregiver. Staff' F"s personnel file showed she had taken a first-a·d class on 05/14/2024 that di not require her to emonstrate skiills. During an inteiview ain 05/20/2024 at 11 :30 am, Staff A, Administrator said the CPR and first-aid classes taken by Staff D, E, and IF were compu er-based ~rainings and did not include the demonstration of skills. PI anlA ttestati on Starte:rn ent I hereby certify that I have reviewed this report and have taken air will take active measures to correct this deficiency. By taking this action, The Cottages at IJniversity Place is or will be in compliance with this law and / or regulation on e) _______ (□a· In addition, I will implement a system to monitor and ensure continued compliance with this requirement. . 05/30/2024 THU 14,41 FAX ~o os Io o1 Statement of Def1c1enc1es license#: 2416 Compliance Determination #41130 Plan of Correction The Cottages at University Place Completion Date bate WAC 388-112A-0720 What ar• th• CPR and flrtt•ald training r1qulramants? (2) Assisted living facilities. (a) Assisted living facility administrators who provide direct care and long-term care workers must have and maintain a valid CPR and first-aid card or certificate within thirty days of their date of hire. This r1qulr1m1nt wa, not met as 1vld1nc1d by: Based on record review and interview, the Assisted Living Facility (ALF) failed to ensure 2 of 5 staff (Staff C and E) had taken a first-aid class within 30 days of hire. This failure placed all 50 residents at risk of receiving treatment from unqualified staff. Findings included .. , Staff C, Caregiver was hired on 02/20/2024 as a caregiver, Review of Staff C's personnel file failed to show a first-aid card. Staff E, Medication Technician was hired on 04/18/2022 as a medication technician, Review of Staff E's personnel file failed to show a first-aid card. During an interview on 05/20/2024 at 11: 30 am, Staff A, Administrator said Staff C and Staff E's personnel files did not contain first-aid cards. P an/Attastatlon Statemtnt I hereby certify that I have reviewed this report and have taken or will take active measures to correct this deficiency. By taking this action, The Cottages at University Place is or willbe in compliance with this law and I or regulation on lQ.\1::~ \11)1,,':1 . (Date) In addition, I will implement a system to monitor and ensure continued compliance with this requirement. Statement of Deficiencies License #: 2418 Compliance Determination # 41130 Plan of Correction The Cottages at University Place Completion Date Administrator (or Representative) Date WAC 388-112A-0720 What are the CPR and first-aid training requirements? (2) Assisted living facilities. (a) Assisted living facility administrators who provide direct care and long-term care workers must have and maintain a valid CPR and first-aid card or certificate within thirty days of their date of hire. This requirement was not met as evidenced by: Based on record review and interview, the Assisted Living Facility (ALF) failed to ensure 2 of 5 staff (Staff C and E) had taken a first-aid class within 30 days of hire. This failure placed all 50 residents at risk of receiving treatment from unqualified staff. Findings included...

Conclusion / Action: Failed Provider Practice Identified / Citation(s) Written Failed Provider Practice Not Identified / No Citation Written N/A . . . .