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25 | Licensing Program Analysts (LPA), Farhaan Sarangi and Erik Gonzalez Campos arrived unannounced to conduct a Required 1 year inspection at approximately 10:00 AM, and met with administrator Josephine Sana. The inspection is focused on the Infection Control procedures and practices of this facility.
Upon entry LPAs were greeted by staff and and asked to sign in after COVID symptom screening. At primary entrance LPAs observed temperature logs and visitor sign-in sheet. LPAs conducted walk through of the facility with S1. Administrator arrived later. LPAs observed COVID postings throughout. Mitigation plan has been submitted and approved by Community Care Licensing (CCL).
Facility was a comfortable temperature and exits were free from obstructions. Hand sanitizer is kept throughout the facility. Staff have completed Personal Protective Equipment (PPE) and infection control training through the Department of Public Health. Staff have not been N95 fit tested. High touch surface areas are disinfected daily. Due to current facility census, residents could isolate in their own rooms if they became ill. LPAs confirmed administrator has necessary PPE equipment and supplies to support a resident in isolation.
Residents' emergency contact information has been updated and administrator confirmed staff are familiar with 911 procedures and protocols. Toxins are secured and inaccessible in locked garage cabinet. A 30 day supply of medications are stored in a locked cabinet inside administrator's office making them inaccessible to residents. The facility has a sufficient supply of Personal Protective Equipment (PPE) and hygiene supplies. LPAs were shown binder where documentation of fire drills and smoke detector tests are kept, documentation was current. Facility is conducting COVID-19 surveillance testing per CCL guidelines.
Continued on LIC 809C |