WebA completed resident characteristic list Include all licensed rooms and all residents. If a nonresident in a licensed room, indicate nonresident. Provide a copy for each inspection team member. (Attachment D) Within two (2) hours of entry of facility Resident Information: WebRecord Reviews: Characteristic Roster, Infection Control Policy, COVID-19 protocols, screening, testing, reporting suspected and actual cases of a communicable illness. Page 1 of2 This do cument ... (COVID19) to DSHS as required, and did not take the necessary preventative and protective actions to manage and limit the spread within the facility.
Assisted Living Facility Resident Characteristic Roster …
http://www.ageiahealthservices.net/forms/Attachment%20D%20RESIDENT%20CHARACTERISTICS%20ROSTER.pdf WebAttachment D (Resident Characteristic Roster/Sample Selection) (DSHS 10-362) Attachment N (Contract Requirements) (DSHS 10-372) Attachment O (Environmental Observations for Contract Requirements) (DSHS 10-373) Attachment P (Food Service Observations) (DSHS 10-486) PROCEDURES. The Licensor will: free fallin band schedule 2021
dZ] } µu v Á ÇZ ] v ]o ^ À] (} Z >} } Á ] X
WebA completed resident characteristic list (Attachment D, DSHS 15-574). Include all licensed rooms and all residents Complete list of staff, position title, birthdate, shift, and hire date Working schedule of care staff, nursing staff. MHPs and on-call RN and MHPs for prior two weeks Disclosure of Admission Agreement Location of the resident records WebCharacteristic Roster Page 1 of2 This do cument w / Residential Care Services Investigation Summary Report Allegation Summary: 1. The facility implemented additional infection control policy and procedures following COVID19, to ensure safety and well-being for the residents of the Named Facility. WebDSHs Rcs Region 3 Completion Date January 29, 2024 Statement of Deficiencies Plan of CotTection Page I of 8 PO Box 98907, Lakewood, WA 98496 ... Review of the ALF Characteristic Roster dated 01/22/20, showed Resident #5 was admitted to r—18. Resident #5 was observed in his apartment on 01/22/20 at I I AM. blowing money fast rick ross