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25 | Licensing Program Analyst (LPA) Ashley Smith arrived at the facility unannounced to conduct a required annual visit at 12:20 p.m. The LPA met with Administrator Zhanna Davtian and explained the reason for the visit. The LPA toured the physical plant areas inside and outside 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. Appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. BEDROOMS: Bedrooms were furnished appropriately; beds were observed with clean linens and rooms had sufficient lighting. All direct exits were clear, and no obstructions were noted. RESTROOMS: Restrooms were clean and sanitary with grab bars and non-skid surfaces. At 12:45 p.m., water temperature measured at 105 F. Restrooms were fully stocked. Hand-washing signs were observed. COMMON SPACES: There was a hallway closet with extra linens and towels. Smoke and common monoxide detector were tested at 12:40 p.m. and were operable at that time. Fireplace in the living room was covered. Medications and files were locked and inaccessible. Fire extinguisher was fully charged and purchased 5/2022. All exits had a functioning auditory device. The backyard had furniture and a covered area for resident use. There is fenced in-ground pool, which was locked at the time of the visit. The facility is completely fenced in, with a self-latching gate on one side.
INFECTION CONTROL: There was a central entry point for screening and temperature checks. The LPA was appropriately screened upon entry into the facility. Staff were wearing appropriate face coverings. Infection Control signs were observed on the front door and in the facility. The facility’s cleaning protocol is sufficient. There was record of staff and resident vaccinations. The LPA discussed changes around testing, visitation and vaccine requirements. The Administrator continues to test unvaccinated residents for precautionary reasons. The facility's procedures as it pertains to infection control are adequate.
No deficiencies cited at this time. The LPA confirmed and updated the contact information for the Administrator. Exit interview conducted. A copy of the report was issued.
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