Inspection Reports for
Joyce’s Orchard Residential

.403 Fire and life safety standards for existing buildings licensed for three through sixteen residents: no documentation for 30 second monthly and 90 minute annual testing of emergency lighting in accordance with NFPA 101, Chapter 7, Section 7.9.

.405.04 Fuel-fired heating: no documented annual fuel-fired heating inspection.

.410 Requirements for emergency actions and fire drills: no documented emergency egress and relocation drills documented on site for review; all drills shall be conducted in accordance with NFPA 101, Chapter 33, Section 33.7.

.415.03 Portable fire extinguisher service and testing: fire extinguisher in the basement was sitting on the floor and not mounted 4" - 60" on the wall.

.415.04 Fire alarm smoke detection system service and testing: no documentation for a 5 year sensitivity test of the smoke detectors.

.415.05 Automatic fire extinguishing system service and testing: no documentation for a monthly visual inspection of fire sprinkler gauges and control valves.

.161.01 Policy on smoking: designated smoking area did not have an ashtray of a safe design; cigarette butts were being placed in a tin can.

.405.01 Medical gases: electrical panel in the closet of the resident room adjacent to the front entry was blocked.

.405.05 Structure, maintenance, equipment to assure safety: emergency lighting by the front entry and rear sliding glass door were non-operational; no documentation for 30 second monthly or 90 minute annual testing of the emergency lighting.

.250.15 Call system: facility did not have an operational nurse call system.

.250.01 Building character: facility had annular penetrations in walls throughout the facility where fire sprinkler pipe had been installed.

.415.02 Fuel-Fired Heating: no annual inspection for fuel fired systems.

.415.05 Automatic Fire Extinguishing System Service and Testing: no annual inspection record for sprinkler system; last inspection noted June 29, 2016.

.215.08 Procedures for Investigations: the administrator did not ensure facility procedures were implemented to assure residents were safe when allegations of verbal and physical abuse were not investigated, the caregiver/perpetrator was transferred to a sister facility placing residents in danger, and the facility failed to document a thorough investigation.

.009.05 New criminal history and background check: one of five staff did not have documentation of a completed criminal history and background check.

.009.06 Use of previous criminal history and background check: one of five staff did not have documentation of a completed Idaho State Police background check.

.250.13.b Resident sleeping rooms: three of five resident sleeping rooms housed three residents instead of the maximum allowed two residents.

.260.06 Housekeeping services and equipment: the facility did not maintain the interior in a clean, safe and orderly manner; the loft, laundry room, hallway closets, and basement storage rooms were cluttered and disheveled.

.310.01.b Medication distribution system: chemicals were stored unsecured in the laundry room, under the kitchen sink, and in basement storage rooms.

.310.04.e Psychotropic or behavior modifying medication: four of four sampled residents' six month psychotropic medication reviews did not include behavioral updates.

.330.03 Resident record confidentiality: the facility did not safeguard resident information against loss, destruction, and unauthorized use; resident records were unsecured in the basement and loft.

.730.02.a Work records: the facility work records failed to document the actual times staff, supervisors, and administrator worked at the facility.