Inspection Readiness Self-Assessment

Are CPR and First Aid certifications current for all direct-care staff?

§ 87411

Has new staff orientation training been completed for all employees hired in the last 90 days?

§ 87412

Do staff members caring for residents with dementia have the required specialized training?

§ 87707

Have fire extinguishers been inspected and serviced within the past 12 months?

§ 87303

Are fire and disaster drills conducted at the required frequency with documentation?

§ 87212

Are emergency evacuation diagrams posted in visible locations throughout the facility?

§ 87212

Are all medications stored in locked cabinets with proper security and labeling?

§ 87465

Are Medication Administration Records (MARs) complete with no gaps in documentation?

§ 87465

Do all PRN medications have current physician orders specifying conditions for use?

§ 87465

Do all residents have signed admission agreements with all required elements?

§ 87507

Are current physician reports and health assessments on file for every resident?

§ 87458

Have care plan reviews been completed within the required timeframe for all residents?

§ 87463

Has the Residents' Rights document been distributed and acknowledged by all current residents?

§ 87468

Are there policies and procedures in place prohibiting the use of unauthorized restraints?

§ 87468.2

Is there a documented grievance procedure that residents and families can access?

HSC 1569.269

Are unusual incidents being reported to CCLD within the required 24-48 hour timeframe?

§ 87211

Are employee personnel files complete with TB clearance, background checks, and health screening?

§ 87412

Are advance healthcare directives (POLST, DNR) on file for residents who have them?

§ 87469