Inspection Reports for House of Peace
3505 Oriole Pl, Charlotte, NC 28269, United States, NC, 28269
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Inspection Report
Census: 6
Capacity: 6
Deficiencies: 5
Jul 26, 2018
Visit Reason
DHSR Construction Section conducted a Biennial Survey to ensure compliance with the 2005 Rules 10A NCAC 13G for Family Care Homes and the 2009 North Carolina State Building Code - Section 421.2 - Residential Care Homes.
Findings
The survey identified multiple deficiencies including lack of hand grips in the hall bathroom, exit doors without single hand motion locks, damaged back flow dampers for kitchen and bathroom exhausts, greasy range hoods, and smoke detectors that were not interconnected. These deficiencies require an acceptable plan of correction.
Deficiencies (5)
| Description |
|---|
| Hall bath near the front of the facility did not have handgrips at the toilet. |
| Several exit doors did not have single action locks operable by a single hand motion from the inside without keys. |
| Back flow dampers for the kitchen and bathroom exhausts were damaged. |
| Range hood in both kitchen areas were very greasy. |
| Several smoke detectors were not interconnected. |
Report Facts
Licensed capacity: 6
Census: 6
Inspection Report
Annual Inspection
Deficiencies: 1
May 31, 2018
Visit Reason
The Adult Care Licensure Section and the Mecklenburg County Department of Social Services conducted an annual and follow-up survey on 05/31/2018.
Findings
The facility failed to ensure that at least one staff person on the premises at all times had current cardio-pulmonary resuscitation (CPR) and choking management certification within the last 24 months. Staff A worked alone for 12 shifts with an expired CPR certification and had not yet completed a renewal course.
Deficiencies (1)
| Description |
|---|
| Facility failed to assure at least one staff person on the premises at all times had completed a course on cardio-pulmonary resuscitation (CPR) and choking management within the last 24 months for 1 of 3 staff (Staff A). |
Report Facts
Shifts worked alone with expired CPR certification: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Medication Aide | Named in deficiency for working alone with expired CPR certification. |
| Supervisor in Charge | Responsible for auditing staff records and noted expired CPR certification. | |
| Administrator | Notified Staff A of expired CPR certification and responsible for ensuring staff certifications are current. |
Inspection Report
Annual Inspection
Deficiencies: 3
May 11, 2016
Visit Reason
The Adult Care Licensure Section and the Mecklenburg County Department of Social Services conducted an annual survey of The Radbourne Manor on May 11, 2016.
Findings
The facility failed to ensure that 2 of 4 sampled staff had no substantiated findings on the North Carolina Health Care Personnel Registry, failed to ensure 1 of 4 medication aides completed the required 15-hour medication administration training within 60 days of hire, and failed to assure that 1 of 4 sampled staff had a controlled substances screening prior to employment.
Deficiencies (3)
| Description |
|---|
| Facility failed to assure 2 of 4 sampled staff had no substantiated findings on the North Carolina Health Care Personnel Registry. |
| Facility failed to assure 1 of 4 medication aides completed the 15-hour medication administration training program prior to passing medications within 60 days of hire. |
| Facility failed to assure an examination and screening for the presence of controlled substances was performed for 1 of 4 sampled staff before employment. |
Report Facts
Number of sampled staff with deficiencies: 2
Number of medication aides sampled: 4
Number of medication aides not completing training timely: 1
Number of staff without controlled substances screening prior to employment: 1
Dates of hire and training: Staff A hired 2016-04-25, Staff B hired 2015-02-04, Staff B passed medication test 2015-06-23
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Care Aide | Failed to have substantiated findings on Health Care Personnel Registry before starting work |
| Staff B | Care Aide and Medication Aide | Failed to complete 15-hour medication administration training within 60 days and lacked controlled substances screening prior to employment |
| Supervisor in Charge | Provided interviews regarding hiring and training processes | |
| Administrator | Provided interviews regarding corporate office responsibilities and audit findings | |
| Nurse | Provided interview about medication aide training completion |
Inspection Report
Capacity: 6
Deficiencies: 1
May 20, 2015
Visit Reason
Biennial Construction Survey to ensure compliance with the 2005 regulations for Family Care Homes and the 2009 Edition of the North Carolina State Building Code Section 421.2-Residential Care Facilities.
Findings
The facility was found to have deficiencies related to building equipment maintenance, specifically the kitchen range/stove exhaust hood filter having excessive grease build-up, which was not maintained in a safe manner.
Deficiencies (1)
| Description |
|---|
| The kitchen range/stove exhaust hood filter has excessive grease build-up and has not been maintained in a safe manner. |
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