1) Title 9, Section 105M(e)(1) Personnel Requirements Class B
The above section states, In part, “All personnel shall be In good health.(1) Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis performed under licensed medical supervision not more than sixty (60) days prior to or seven (7) days after employment with tuberculosis testing renewable every year.”The licensee was deficient in meeting this regulation because the personnel file did not contain current tuberculosis test results) for employees
2) Title 9, Section 10572(g)The above section states, in part, Health-Related Services Class B (g)
“Prescription medications which are not removed by the resident upon termination of services shall be destroyed by the facility administrator, or a designated substitute, and one other adult who is not a resident. Both shall sign a record, to be retained for at least one (1) year, which lists the following:(1) Name of the resident.(2) The prescription number and the name of the pharmacy.(3) The drug name, strength and quantity destroyed.(4) The date of destruction.”The licensee was deficient in meeting this regulation because the medication destruction policy documented in the policy manual is not the current method of medication destruction. Currently only one staff member is signing that medication has been destroyed.
Note: A new form was created prior to the exit interview, in which two staff signatures will now be captured when medication ls destroyed.