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25 | Licensing Program Analysts (LPA) Farhaan Sarangi and Erik Gonzalez Campos arrived unannounced, to conduct a Required-1 year inspection and were greeted by administrator Sherry Zhu. Administrator granted access into the facility. The inspection is focused on the Infection Control procedures and practices of this facility.
Upon arrival, LPAs were screened by administrator and screening was documented. LPAs initiated walk-through of the facility with the Administrator at 10:15 AM and observed COVID-19 posters throughout the facility that included hand washing signs. Facility staff assist clients with hand washing. Facility was a comfortable temperature and exits were free from obstructions. Infection control has been discussed with clients and staff. Hand sanitizer is located centrally for client and staff use. Observed staff had masks on during this visit. Commonly touched surfaces are disinfected on each shift.
Clients are staggered and socially distanced during meals. Common areas are set up for social distancing. Facility has a designated visitation area. Staff have completed PPE training.
LPAs provided guidance to submit revised mitigation plan by July 1, 2021.
Facility has over 70 percent vaccination rate of staff and clients and has therefore discontinued surveillance testing.
LPAs confirmed administrator reviewed the following: PINs 21-17-ASC and 21-17.1-ASC for new guidance regarding visitation, communal dining, surveillance testing, etc.
Administrator and LPA discussed their Emergency Disaster Plan. No deficiencies cited during this inspection. Exit interview was conducted and a copy of this report was emailed to the Administrator, Sherry Zhu. |