Assisted Living and Residential Care Facilities must operate and provide services in compliance with all applicable State and local laws, regulations and codes.  This report reflects the findings of the complaint investigation conducted 08/31/2022.  The facility was evaluated for compliance with Oregon Administrative Rule 411, Division 54 and if applicable, Oregon Administrative Rule 411, Division 57.  The following deficiencies were identified:

Abbreviations possibly used in this document:

ADL:activities of daily living

bid:twice a day

CBG:capillary blood glucose or

blood sugar

cc:cubic centimeter

CG:caregiver

cm:centimeter

F:Fahrenheit

HH:Home Health

HS or hs:hour of sleep

LPN:Licensed Practical Nurse

MA:Medication Aide

MAR:Medication Administration

Record

MCCMemory Care Community

mg:milligram

ml:milliliter

O2 sats:oxygen saturation in the

blood

OT:Occupational Therapist

PT: Physical Therapist

PRN:as needed

qd:every day or daily

qid:four times a day

RN:Registered Nurse

SP:service plan

TAR:Treatment Administration

Record

tid:three times a day

Based on interviews and record review it has been confirmed the facility failed to submit a background check to the department for a criminal fitness determination. Findings include, but not limited to:

In interviews on 08/31/2022, Staff #1(S1) and Staff #2 (S2) confirmed that Staff #4 (S4) worked without a cleared background check from 05/02/2022 to 05/31/2022.

A record review on 08/31/2022 verified an incomplete background check on file. Background documentation for S4 dated 08/05/2022 stated the following: "Action needed --notify the subject individual that fingerprints are required for this background check."

A review of timecards dated 05/01/2022 to 05/31/2022, verified S4 worked a total of 141.02 hours.

On 08/31/2022, these findings were reviewed with and acknowledged by S2.

Facility Plan of Correction: The facility will add "Complete Background Check" to the new employee caregiver training checklist. Facility will ensure that no staff are working without a completed and cleared background check.