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25 | On 9/3/2021 at 8:35AM, Licensing Program Analysts (LPAs) G. Luk and C. Lin arrived unannounced to conduct an Infection Control Inspection. LPAs met with Administrator, Elizabeth Nagy and explained the purpose of the visit.
Upon entry, LPA's temperatures were checked by staff and asked to fill out COVID-19 questionnaire. LPAs toured facility including but not limited to bedrooms, bathrooms, kitchen, common areas, and outdoor areas. Hand washing posters were posted at bathrooms and sinks.
During record review, LPAs observed visitors log and facility has a copy of Mitigation Plan on file. LPAs observed PPEs, food, and paper supplies are sufficient.
The following deficiencies were observed during the visit:
-At 9:30AM, LPAs observed facility was not documenting resident's changes in condition.
The deficiency was observed (see LIC 809D) and cited from the California Code of Regulations. Failure to correct deficiency by POC date may result in additional Civil Penalties.
Exit interview conducted. A copy of this report and appeal rights provided. |