SC DHEC Division of Health Licensing

1. SC DHECDivision of Health Licensing Community Care Oversight Program

2. Top Ten Cited ViolationsRegulation 61-84Standards for Licensing Community Residential Care Facilities Medication Management Staff Training Individual Care Plans Maintenance Housekeeping Tuberculin Skin Test for staff and residents Water Temperatures Resident Physicals Storage of Toxic Agents Quality Improvement Plan

3. Medication Management

4. Staff Training Staff training not conducted and/or documented as required annually or before resident contact

5. Individual Care Plan Not completed within 7 days of admission Not updated at least every 6 months or as changes occur Does not include all necessary information (e.g., signatures, detailed description of care/services provided by facility or other agencies, information regarding diet, HCPOA, DNR, activities)

6. Maintenance • Overall maintenance of the facility’s interior and/or exterior • Housekeeping • Overall cleanliness of the whole or portions of the facility

7. Tuberculin (PPD) Test for staff and residents Documentation not available Not conducted before resident’s admission or within the required time frame after admission Staff two step PPD not conducted prior to resident contact Annual PPD not conducted for staff

8. Water Temperatures In areas of the facility where residents have access, hot water temperatures do not meet the requirement of 100-120 °F

9. Resident Physicals No documentation of an admission or annual physical by a physician attesting to appropriateness of placement Residents inappropriately admitted/ retained

10. Toxic Agents • Not secured • Stored in resident rooms without a physician’s order

11. Quality Improvement Program • Facility does not have or has not implemented a QI plan • Plan does not contain all the required components

12. Water source safe Hot and cold under pressure • Water not from an approved source, adequate supply, and of safe quality. • The absence of hot or cold water under pressure at sinks and lavatories. Sewage • A malfunctioning septic tank or grease trap. • Sewer or water service cut off by utility provider. • Wastewater disposed of in an unapproved manner

13. Thank you for this opportunity. Sonya D Turner, Inspector Division of Health Licensing Community Care Oversight Section PP Created by: Gwen Thompson