Inspection Reports for Chantilly Lace Manor

The visit was an unannounced case management inspection related to deficiencies and a complaint investigation (56-AS-20251008092142). Licensing Program Analysts requested resident files and reports related to the complaint but were denied access.

A Type B deficiency was cited for failure to provide access to resident records, including admission agreements, physician's reports, and resident registry, which poses a potential health, safety, and personal rights risk to persons in care.

The visit was triggered by a complaint investigation (56-AS-20251008092142). Staff stated they did not have access to resident files requested by Licensing Program Analysts.

Unannounced Plan of Correction (POC) visit to verify correction of previously cited deficiencies from a 02/12/2025 inspection.

Several deficiencies cited on 02/12/2025 remained uncorrected, including failure to provide a statement of understanding of regulation, missing signed admission agreement for resident #1, storage of supplies in a resident's private bathroom closet, and presence of surveillance cameras in all residents' bedrooms. Civil penalties of $3600 were assessed for failure to correct deficiencies by the due date.

Licensing Program Analyst conducted an unannounced required comprehensive annual inspection of the Residential Care Facility for Elderly (RCFE).

The inspection found multiple deficiencies including failure to maintain medication administration logs, incomplete physical health records for staff, improper storage of facility supplies in a resident's closet, missing signatures on resident admission agreements, and presence of cameras in resident bedrooms, all posing potential health, safety, or personal rights risks.

The visit was an unannounced required annual inspection conducted by Licensing Program Analysts to evaluate the facility's compliance with licensing regulations.

The facility was found to be operating within its approved capacity and in generally safe and clean conditions. However, multiple deficiencies were cited related to incomplete Infection Control Plan, storage of expired and altered label medications, failure to maintain PRN medication logs, and an incomplete Emergency Disaster Plan.

The inspection was an unannounced complaint investigation visit triggered by allegations including uncleared staff working at the facility, inadequate staff training, and incomplete staff records.

The investigation found the allegations regarding uncleared staff and inadequate training to be unsubstantiated, but substantiated that the facility staff records were incomplete, specifically lacking proof of CPR training and tuberculosis tests for employees.

The complaint investigation was based on allegations of uncleared staff working at the facility, inadequate staff training, and incomplete staff records. The first two allegations were found unsubstantiated, while the third was substantiated due to missing CPR training and TB test documentation for employees.

An unannounced required annual inspection was conducted with an emphasis on infection control due to the COVID-19 pandemic.

The facility was found to be in compliance with regulatory requirements, including infection control measures, operational standards, and safety protocols. No deficiencies were cited during the inspection.