Inspection Reports for Ontime Care LLC

285 Ironton Street Ne, Fridley, MN 55432, MN, 55432

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Inspection Report Original Licensing Census: 1 Deficiencies: 6 Sep 29, 2023
Visit Reason
The Minnesota Department of Health conducted an initial survey to assess compliance with state licensing statutes for an assisted living facility license.
Findings
The licensee was found in substantial compliance but had several deficiencies including failure to list the licensed assisted living director as Director of Record, failure to prepare and serve food according to Minnesota Food Code, lack of an individual abuse prevention plan for one resident, incomplete tuberculosis prevention program for an employee, inadequate fire safety and evacuation plans and training, and failure to provide required emergency relocation notice for one resident.
Severity Breakdown
Level 1: 1 Level 2: 5
Deficiencies (6)
DescriptionSeverity
Licensed assisted living director was not listed as Director of Record with the Board of Executives for Long Term Services and Supports.Level 1
Food was not prepared and served according to the Minnesota Food Code.Level 2
Individual abuse prevention plan was not developed with required content for one resident.Level 2
Tuberculosis prevention program lacked baseline testing for one employee.Level 2
Fire safety and evacuation plan lacked required elements, resident training, and required evacuation drills.Level 2
Failed to provide written notice with required content and notify Ombudsman for emergency relocation of one resident.Level 2
Report Facts
Residents present: 1 Correction order time period: 2 Correction order time period: 21 Correction order time period: 7 Correction order time period: 21 Correction order time period: 21 Correction order time period: 21
Employees Mentioned
NameTitleContext
Jess SchoeneckerSupervisor, State Evaluation TeamSigned letter regarding licensing and correction orders.
RN-ARegistered NurseMentioned in relation to individual abuse prevention plan and tuberculosis testing deficiencies.
LALD-DLicensed Assisted Living DirectorMentioned in relation to failure to list as Director of Record.
O-COwnerInterviewed regarding tuberculosis testing and fire safety deficiencies.

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