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 |
|---|---|
| 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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