ORDERS:
CONSENT ORDER AND AGREEMENT
FINDINGS OF FACT
1. Greenville County Disabilities and Special Needs Board (Licensee) has been the holder of a
license to operate Greenville Community Residence (facility) issued by the South Carolina
Department of Health and Environmental Control (Department) pursuant to Section 44-7-110 et
seq. South Carolina Code of Laws (1976) (as amended).
2. The Department issued an Emergency Order dated August 9, 1996 (see attachment A)
suspending the license of Greenville County Disabilities and Special Needs Board (GCDSNB) to
operate Greenville Community Residence. This order was hand-delivered to a representative of
the Greenville County Disabilities and Special Needs Board on August 9, 1996.
3. The South Carolina Department of Disabilities and Special Needs (SCDDSN), with whom
GCDSNB contracts, assumed operation of the facility during this suspension as was acceptable
per the terms of the Emergency Order of August 9, 1996. This assumed operation included having
a representative of SCDDSN function as acting administrator. This acting administrator initiated
action to review the operations of Greenville Community Residence.
4. The Greenville County Disabilities and Special Needs Board initiated action to review the
concerns as addressed in the August 9, 1996 Emergency Order. These actions included providing
the Department with written verification which began to address many of these concerns. (See
attachment B).
5. The Department reviewed all information provided by both the Greenville County Disabilities
and Special Needs Board and the S.C. Department of Disabilities and Special Needs to assure that
appropriate corrective action had taken place or was planned in the near future.
THEREFORE IT IS AGREED
1. The facility will provide to the Department documentation from a licensed plumber that its
water supply meets the requirements as set forth in R61-84, Standards for Licensing Communitv
Residential Care Facilities, Section 2501.4 A and Section 2703 F. Also, the facility must describe
to the Department what actions it will take to ensure that this violation does not occur again. At
a minimum, such action must include periodic testing of water temperature at all outlets accessible
to residents.
2. The facility must provide to its staff detailed inservice training related to resident care and
supervision. Training must be done with all new staff as part of the facility orientation and must
be done again for all staff at least annually. The facility must document that these inservice
sessions have been completed. This training must include at a minimum specific requirements and
procedures to insure direct supervision of residents who are bathing. Also, the facility must
provide to the Department documentation that this first inservice training has been held prior to
September 1, 1996, and verification that all current staff have attended. Following submission of
this first training record to the Department, this and future documentation must be available for
review in the facility during inspection.
3. The facility must provide to the Department a written copy of its plan to ensure that it meets
the incident reporting requirements of Section 903 of R61-84.
4. The facility must provide to the Department evidence that an individual designated by the
facility as administrator is currently licensed by the Board of Long Term Care Administrators,
SCDLLR. Also, the facility and the licensee must provide to the Department its plan for ensuring
that designated administrators are and remain appropriately licensed.
5. The licensee must provide to the Department a plan for and evidence of administrative
oversight by the licensee. This evidence must consist of at least the following: documentation of
meetings with facility administrator, documentation of self-inspection, documentation of review of
any inspection/investigation findings with facility administrator, and documentation of actions
taken as a result of the licensee's administrative oversight.
6. The facility must conduct at least a weekly self inspection of the facility. Documentation of this
weekly self inspection and actions taken as a result thereof must be available for review during
inspections of the facility.
7. If these actions have been completed by September 4, 1996, the Department will lift the
suspension of the license. If these requirements are not satisfied by September 4, 1996, the
Department shall revoke the license.
8. It is further agreed that future violations or repeat violations of the regulation or applicable
licensing statutes may result in the imposition of penalties, which may include revocation of the
license to operate the Facility, pursuant to Section 44-7-320 of the South Carolina Code of Laws
(1976, as amended).
9. Nothing in this agreement shall be construed to imply that the Department waives its authority
to enforce, by imposing penalties or otherwise, all applicable statutory and regulatory
requirements.
AND IT IS SO ORDERED
___________________________
John D. Geathers
Administrative Law Judge
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