| Deducted | Remarks |
| 1 | 10.4 Post the most recent inspection report in a conspicuous location within the Communal Living Facility. The Inspection Report remains the property of JCDH.// Observed no available inspection report.
9.1 Post the current JCDH Communal Living Facility Permit in a conspicuous location within the Communal Living Facility. The Permit remains the property of JCDH.// Observed no available JCDH Communal Living Facility Permit. |
| 2 | 4.1.1 (a) Provide for each resident at least 1 chest of drawers in good condition with sufficient space for the storage personal clothes and belongings.// Replace damaged chest of drawers throughout resident rooms.
4.1.1 (c) Provide at least 1 chair in good condition in each rooming unit.// Replace chairs throughout resident rooms. |
| 4 | 4.1.1 (e) Maintain each bed in good condition and supply each bed with a clean supportive mattress and box spring.// Repair bed base in Room two.
4.1.2 (c) Provide a clean cover for such as a blanket or quilt for each bed as needed. Maintain in good condition.// Clean residents covers throughout the facility.
4.1.2 (d) Provide extra linens as needed to maintain beds covered in linens at all times. |
| 3 | 4.2.8 Provide a supply of soap, single-use towels and toilet tissue in the bathrooms at all times.// Observed no available soap or paper towels in residents restrooms. |
| 2 | 4.3.1 Maintain towels, washcloths and bed linens clean by laundering once a week or as often as needed.// Observed soiled towels, washcloths and bed linens throughout the residents bedrooms. |
| 2 | 6.1.1 Maintain all interior walls, ceiling and floors in good repair.// Repair/Replace damages walls,ceiling, and floors throughout the facility. |
| 5 | 6.9.1 Maintain all smoke detectors, fire extinguishers and fire safety equipment in good working condition and in compliance with current and applicable fire and safety codes.// Repair/Replace damaged smoke detectors in several residents rooms. |
| 4 | 7.2.1 Provide effective extermination of insects, rodents and other pests.// Observed bed bugs on mattresses in Room 2.// Observed drain flies throughout the facility. |
| 3 | 2.5.2 Complete and document an annual assessment of suitability and maintain a copy in the resident's file.// Observed no available assessment during time of inspection.
7.5.1, 7.5.3 Maintain a current record of each resident's personal information on file at the Communal Living Facility as required.// Observed no available record of each resident's personal information during time of inspection.
2.9.4 Provide a current, signed Resident Agreement for verification of documentation. The record shall provided to the resident upon admission and kept on file at the Communal Living Facility as part of the Resident's File.// Observed no available resident agreement for verification of documentation during at time of inspection. |