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25 | On 7/12/2022 at 01:25 PM Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct an annual Infection Control Inspection continued from 06/23/22. LPA met with Karae Hughes, Interim Program Director (PD). Facility has census of 5.
Facility has a COVID-19 mitigation plan on file. LPA requested a resident roster and staff roster be sent to CCLD. LPA and PD toured the facility inside and out including but not limited to common areas, activity room, workout room, TV room, bathrooms, kitchen, office and patio. No bodies of water were present, LPA observed screening stations at the entries that contained a thermometer, hand sanitizer, masks, face shields, gowns, and gloves. PD to add COVID-19 signage, post 20 seconds to hand washing signs in the kitchen and bath areas, and create an isolation cart for infection control. There was a sufficient supply of 2-day perishables and 7-day supply of non-perishable foods. All hand washing stations were equipped with soap, paper towels and covered garbage cans; add paper towel holder and remove kitchen towels after each use. There was a surplus of PPE centrally located inside the facility that is accessible to all care staff. Hot water temperature in the measured at 116.8 degrees Fahrenheit (F) and the facility's temperature was 70 degrees (F). Fire extinguisher was observed full and last inspected on 04/06/2022. Smoke/Carbon Monoxide detectors observed operational and alerts fire department, and first aid kits complete. Cleaning supplies and solutions are are centrally stored in a locked area that are inaccessible to clients.
-LIC610 Emergency Disaster Plan (Reviewed)
Exit interview conducted and a copy of this report provided to Karae Hughes, Interim Program Director (PD).
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