SC DHEC Division of Health Licensing

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SC DHECDivision of Health Licensing

• Community Care Oversight Program

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Top Ten Cited ViolationsRegulation
61-84Standards for Licensing Community
Residential Care Facilities

1. Medication Management
2. Staff Training
3. Individual Care Plans
4. Maintenance
5. Housekeeping
6. Tuberculin Skin Test for staff and residents
7. Water Temperatures
8. Resident Physicals
9. Storage of Toxic Agents
10. Quality Improvement Plan

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Medication Management
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Staff Training

• Staff training not conducted and/or documented as
  required annually or before resident contact

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Individual Care Plan

• Not completed within 7 days of admission
• Not updated at least every 6 months or as changes
  occur
• Does not include all necessary information (e.g.,
  signatures, detailed description of care/services
  provided by facility or other agencies,
  information regarding diet, HCPOA, DNR,
  activities)

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• Maintenance
• Overall maintenance of the facilitys interior
  and/or exterior

• Housekeeping
• Overall cleanliness of the whole or portions of
  the facility

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Tuberculin (PPD) Test for staff and residents

• Documentation not available
• Not conducted before residents admission or
  within the required time frame after admission
• Staff two step PPD not conducted prior to
  resident contact
• Annual PPD not conducted for staff

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Water Temperatures In areas of the facility where
residents have access, hot water temperatures do
not meet the requirement of 100-120 F
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Resident Physicals

• No documentation of an admission or annual
  physical by a physician attesting to
  appropriateness of placement
• Residents inappropriately admitted/ retained

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• Toxic Agents
• Not secured
• Stored in resident rooms without a physicians
  order

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• Quality Improvement Program
• Facility does not have or has not implemented a
  QI plan
• Plan does not contain all the required components

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Water source safe

• Hot and cold under pressure
• Water not from an approved source, adequate
  supply, and of safe quality.
• The absence of hot or cold water under pressure
  at sinks and lavatories.
• Sewage
• A malfunctioning septic tank or grease trap.
• Sewer or water service cut off by utility
  provider.
• Wastewater disposed of in an unapproved manner

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Thank you for this opportunity. Sonya D Turner,
Inspector Division of Health Licensing Community
Care Oversight Section PP Created by Gwen
Thompson