Overview
The tasks listed below are examples of items that may be reviewed when EEC conducts a licensing visit, from a report we generated from the Licensing Education Analytical Database. Depending on the nature and purpose of the visit, not all of these items will be reviewed during any single visit.
Visit Items | Description |
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Accurate medication log | Review medication log |
Adequate staffing | Observation of daily activities |
[Administrator]/staff in charge of shift | Interviews with staff, [surroundings] observation |
Administrator or designee on shift | Observation of daily activities |
Appropriate supervision | Observation of daily activities |
Bathing and toilet spaces | Facility inspection |
Behavior management | Interviews with residents, [surroundings] observation |
Behavior support, de-escalation techniques/physical intervention techniques | Observation of daily activities |
[Background record check] licensee and reviewer | Check on licensee and reviewer [background record check] application and approval. |
Building and grounds | Facility inspection |
Case management | Interviews with residents, interviews with clinical staff |
Cleaning / physical plant [COVID-19] related | —Written procedure of cleaning, sanitizing, and disinfecting —Separate space for sick and symptomatic residents |
Cleaning/maintenance/physical plant | —Evidence of cleaning, maintenance —Good repair, homelike —Emergency procedures near phone —Emergency evacuation drills completed —Kitchen/dining/food |
Communication log | Review of communication log |
CPR/first aid–certified staff | Training/certification review |
Current building, fire, and health certificates | Document review |
Daily routine and structure activities | Observation of daily activities |
Discharge | Review of resident discharge record |
Discretionary [background record check] | Review personnel files |
Evacuation drills | Review fire drill log |
Evacuation routes posted | Facility inspection |
Grooming and hygiene | Observation of daily activities, brief conversations with residents |
Handbook | Interviews with residents, review of handbook |
Health and safety 1 | —Universal precautions and infection control —Plan for meeting emergency needs |
Health and safety 2 | —Behavior management and support and role of childcare —Interactions with residents |
Health and safety [COVID-19] related | —Staff have access to [COVID-19] related health and safety policies and supplies: masks, cleaning materials, physical distancing, visits, group sizes, screening, etc. —Visit policy updated |
Incident reports | Resident record review |
Indoors clean, safe, good repair, appropriately furnished | Facility inspection |
Kitchen and dining | Facility inspection |
Living units | Facility inspection |
Med storage | Facility inspection |
Medical and dental | Resident record review |
Medication | —Policy/procedure —Accurate log |
Medication | Interviews with residents, [resident] record review, [medical demonstration], interviews with staff, interviews with nursing |
Medication administration | Observation of daily activities |
Medications and hazards secured | Facility inspection |
Notification and reporting | —Internal investigation submissions —Required notification occurring as needed |
Notification and Reporting–[COVID‑19] related | —Weekly census reporting —[COVID-19] cases and exposures, close contacts |
Nutrition | Facility inspection |
Ongoing training | Staff interviews, review of personnel records |
Organizational chart | Request current [organizational] chart |
Orientation | Staff interviews, review of personnel records |
Outdoor area clean and free of hazards | Facility inspection |
Personnel records | Review of personnel records |
Placement agreement | Resident record review |
Placement register | Review of placement register (shelter only) |
Positive interactions with residents | Observation of daily activities |
[Preparation] for new resident | Interviews with residents, interviews with staff |
Preplacement visit | Interviews with residents |
Programming | Interviews with residents, milieu observation |
Quarterly restraint reporting | System/file review |
Recreational services | Interviews with staff, interviews with residents, milieu observation |
Required inspections | Document review |
Resident discharge summary | Review of resident discharge summary |
Resident handbook | Brief conversations with residents |
Resident records | Resident record review |
Residents aware of rules | Resident interviews |
Residents aware of rules and evacuations procedures | Observation of daily activities |
Restraint | Interviews with resident, restraint [demonstration] |
Restraint curriculum | System/file review |
Restraint incident reports | Resident record review |
Review of incident reports | Review of incident reports |
Role of childcare staff | Interviews with resident, milieu observation |
Separation | Observation of daily activities |
Service planning | Interview with residents, resident record review, clinician interviews |
Staff aware of individual resident plans | Observation of daily activities |
Staff orientation | Training/certification review |
Staff supervision | Brief conversations with staff |
Staff training | Training/certification review |
Staffing and supervision | —Orientation/training provided —Protection from abuse and neglect —Written description of staffing —CPR/[first aid] available at all times —Plan for on-call |
Staffing schedule | Review four weeks of staffing schedules |
Submitted documents | Review of submitted documents |
Submitted policies | System/file review |
Substantial program changes | Entrance/[administrator] interview |
Supervision | Staff interviews |
Transportation vehicles | Vehicle inspection |
Visits, mail, [telephone] | Observation of daily activities, brief conversations with residents |
Date published: | November 25, 2024 |
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