Apr 15, 2026 · Inspection
4 deficiencies cited
- Non-critical Director Annual Training - Additional required topics
Inspector's note: Director observed to be missing training hours for the following topics: 746.1311(e)(1) emergency preparedness, 746.1311(e)(2) Preventing and controlling the spread of communicable diseases, including, 746.1311(e)(4) Preventing and responding to emergencies due to food or an allergic reaction, 746.1311(e) (5) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic immunizations, and 746.1311(e)(6) Handling, storing, and disposing of hazardous materials including compliance with ?746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?). Risk level: Medium. Corrected by 2026-04-27. - Non-critical Documented Annual Training- Required Content
Inspector's note: Standard 746.1309(e) topics and documentation were observed to be missing. Risk level: Medium. Corrected by 2026-04-27. - Non-critical Documentation of Drills
Inspector's note: The last documentation of drills were observed to be in June of 2025. Risk level: Medium. Corrected during the inspection. - Critical Policies Comply with Rules
Inspector's note: It was observed that the operational policy was missing information on the following standards: 746.501(13),746.501(20), 746.501(25), 746.501(23). Risk level: High. Corrected by 2026-04-24.