Audit

Physical Plant Inspection

Program name and address; reviewers

CR 1.11 Medication storage and monitoring assures resident safety

Communally held medication is in locked storage

Controlled substances are under double lock

Keys to medication storage are properly safeguarded

Medication kept by individual residents is securely locked

CR 1.32 The building, its equipment and fixtures are free from fire and safety hazards.

The residence is free from items prohibited under Part 595.15(a) (4)(iii)

Items restricted by 5.95.15(a)(4)(iv) have been approved by OMH and requred maintenance procedures are followed.

Building exits are unobstructed by accumulated material, furniture, or by locking devices which could inhibit emergency egress

The building is free from unsafe accumulations of combustible materials

Flammable materials are safely stored

Electrical circuits are free from overload

CR 1.33 Smoke detectors and fire fighting equipment are located and maintained as requred by regulation

Smoke detectors are placed as required by regulation

Hardwired detectors are tested not less then once/month and battery operated devices at least weekly

Battery operated detectors are capable of issuing a trouble signal prior to battery failure

At least one fire extinguisher is accessible on each floor

All extinguishers have been tested and recharged as required

The building emergency evacuation plan is posted

CR 1.41 Personal living spaces meet minimum regulatory requirements for furniture and linen and are properly maintained and clean

Adequate cleanliness is maintained

Bathroom fixtures are in good repair and free from leakage

Walls, ceilings and floors are free from prominent holes or signs of leakage

The condition of paint or wall coverings in the space is satisfactory

Each resident is provided with a bed, chair, desk or table, dresser and closet or wardrobe

Furniture is in satisfactory condition

Each resident is provided with at least 2 sets of sheets, a blanket, 2 towels and a washcloth

Linens are kept clean and in satisfactory condition

Each bedroom has window coverings that are clean and in acceptable repair

CR 1.42 Common living spaces are appropriately furnished and furniture and spaces are properly maintained and clean

Adequate cleanliness is maintained

Bathroom fixtures are in good repair and free from leakage

Walls, ceilings and floors are free from prominent holes or signs of leakage

The condition of paint or wall coverings in the space is satisfactory

Common areas are furnished appropriately to the function of the space, and the population (Includes decorative items, activity supplies, recreational equipment, etc)

Furniture and other room furnishings are in satisfactory condition

CR 2.31 The confidentiality of resident records is maintained

Resident specific materials are securely maintained, including written materials, computer disks, and hard drives

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.