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25 | Licensing Program Analyst (LPA) Ashley Smith arrived unannounced to conduct a required annual visit. This annual had a specific emphasis on infection control practices. The LPA met with Administrator Michelle Maurer and explained the reason for the visit. The LPA toured the physical plant to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.
KITCHEN: Knives and chemicals are locked inaccessible. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. BEDROOMS: Bedrooms had appropriate furnishings, clean linens and sufficient lighting. RESTROOMS: Resident restrooms were clean and sanitary with grab bars and non-skid surfaces. The hand hygiene signs were observed in all restrooms. COMMON SPACES: The facility maintained a temperature of 76 degrees. Living room and dining furniture were observed to be in good condition. Exits have functioning auditory devices. Required postings were observed at the entrance. The backyard and exterior area of the facility had furniture and a covered area for resident use. There were no bodies of water noted.
Infection Control: During today’s visit, the LPA spoke with the Administrator regarding the facility’s infection control practices. There is a centralized location with COVID-19 signs that promoted hand hygiene, physical distancing, and cough/sneeze etiquette. There is sanitizer available for use throughout the facility. There is an adequate supply of Personal Protection Equipment (PPE), but the facility would like additional surgical masks and gloves. The facility’s cleaning protocol is sufficient. Staff were observed wearing the appropriate face coverings.The facility continues to chart the temperatures of the staff and residents daily. There is record of staff and resident vaccinations. The facility can designate a single-person room to isolate persons if there is a confirmed case of COVID-19 Staff are up to date regarding guidelines around visitation and vaccine requirements. The Infection Control plan will be submitted to CCL by the due date. The policies and procedures pertaining to infection control were adequate.
No deficiencies observed at this time. Exit interview conducted. A copy of the report was issued.
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