Documentation of Drills
SeriousThe last documentation of drills were observed to be in June of 2025.
State records correction during the inspection; no separate verification date is shown.
Standard 746.5205(4) · Documentation of Drills
- State severity
- Medium
- Corrected at visit
- Yes
- Correction reported
- Apr 15, 2026
- Technical assistance
- Recorded
- Finding source ID
- 1025780748
- Visit source ID
- 905578493
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Director Annual Training - Additional required topics
SeriousDirector observed to be missing training hours for the following topics: 746.1311(e)(1) emergency preparedness, 746.1311(e)(2) Preventing and controlling the spread of communicable diseases, including, 746.1311(e)(4) Preventing and responding to emergencies due to food or an allergic reaction, 746.1311(e) (5) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic immunizations, and 746.1311(e)(6) Handling, storing, and disposing of hazardous materials including compliance with ?746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).
State verification recorded Apr 27, 2026.
Standard 746.1311(e) · Director Annual Training - Additional required topics
- State severity
- Medium
- Corrected at visit
- No
- Correction reported
- Apr 27, 2026
- Technical assistance
- Recorded
- Finding source ID
- 1025780749
- Visit source ID
- 905578493
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Policies Comply with Rules
CriticalIt was observed that the operational policy was missing information on the following standards: 746.501(13),746.501(20), 746.501(25), 746.501(23).
State verification recorded Apr 24, 2026.
Standard 746.201(1) · Policies Comply with Rules
- State severity
- High
- Corrected at visit
- No
- Correction reported
- Apr 24, 2026
- Technical assistance
- Recorded
- Finding source ID
- 1025941467
- Visit source ID
- 905578493
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Documented Annual Training- Required Content
SeriousStandard 746.1309(e) topics and documentation were observed to be missing.
State verification recorded Apr 27, 2026.
Standard 746.1309(e) · Documented Annual Training- Required Content
- State severity
- Medium
- Corrected at visit
- No
- Correction reported
- Apr 27, 2026
- Technical assistance
- Recorded
- Finding source ID
- 1025740916
- Visit source ID
- 905578493
This finding is already in your tour questions. Plan a visit →