Inspection Reports for
Clarendale Ann Arbor
2840 S Main St, Ann Arbor, MI, 48103
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Inspection Report — Aug 16, 2024
Renewal
Date: Aug 16, 2024
Visit Reason
Renewal inspection of the adult foster care family home license.
Findings
The home was found to be in non-compliance with 11 rules; a written corrective action plan was required before the license is renewed.
Deficiencies (10)
MCL 333.20201 Policy describing rights and responsibilities of patients or residents: the computer on the medication cart in the memory care unit displayed confidential resident information in a public area.
R 325.1921 Governing bodies, administrators, and supervisors: Resident B’s service plan did not specify the required oxygen flow rate or whether it was needed continuously or as needed.
R 325.1922 Admission and retention of residents: service plans for Residents B and E were missing the signature of the resident or their responsible party, indicating plans were not communicated.
R 325.1923 Employee's health: Employee #2 and Employee #9 had tuberculosis screenings not in compliance with timing requirements. Repeat violation.
R 325.1931 Employees; general provisions: Employees #3, #5, and #9 lacked verification of safety and fire prevention training; Employee #8’s Relias training was incomplete.
R 325.1932 Resident medications: Resident B’s and others’ medication administration records lacked specific instructions and documentation for as needed medications and unclear medication scheduling.
R 325.1932 Resident medications: medications stored in Resident B’s apartment refrigerator were not stored securely.
R 325.1976 Kitchen and dietary: refrigerators and freezers in multiple rooms and the assisted living kitchen were missing reliable thermometers.
R 325.1981 Disaster plans: the disaster plan lacked a written procedure for handling explosions, training was not provided, and an employee could not locate the disaster plan binder.
R 325.1922 Admission and retention of residents: the facility did not have a tuberculosis risk assessment to determine risk classification. Repeat violation.
Report Facts
Corrective action plan due: 15
Inspection Report — Jan 17, 2020
Original Licensing
Date: Jan 17, 2020
Visit Reason
Original license application for a home for the aged facility.
Findings
The study determined substantial compliance with applicable licensing statutes and administrative rules.
Report Facts
License length: 6
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