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25 | On 04/05/2022 at 9:35 AM Licensing Program Analyst (LPA) L. Holmes attempted to conduct an unannounced annual - infection control visit. LPA arrived at the facility, rang the door bell, and it was answered by a gentleman. LPA asked was the Administrator, Wanda available and he said no; she had left with two of the clients. LPA asked was anyone else available and he replied no; he's her brother and just does a little work around the facility. At 9:45 AM, LPA left the premises, called the Administrator, received the voicemail and left a message requesting a callback. LPA observed the gentleman cutting the lawn after LPA left the facility.
On 04/28/2022 at 03:00 PM, Licensing Program Analyst (LPA) L. Holmes arrived for a second attempt, unannounced, to conduct an Infection Control Inspection, LPA was greeted by the Administrator, Wanda Dyer (ADM) and explained the purpose of the visit.
A screening station is at the entry with thermometer and hand sanitizer. ADM to add COVID-19 signage throughout the facility, maintain a sign-in log for visitors. LPA toured the facility including, but not limited to common areas, bathrooms, bedrooms, kitchen and outside. Advised ADM to add 20 second handwashing signs and covered trash cans to shared bathrooms. Bathrooms were equipped with grab bars, soap and paper towels. Hot water temperature in the shared clients' bathroom was measured at 116.7 degrees Fahrenheit (F) and facility temperature was 72 degrees (F). Fire extinguisher observed full. Smoke and Carbon Monoxide detectors observed operational. LPA advised ADM to create an isolation cart in the event of a COVID-19 outbreak.
The following forms are to be updated and submitted to CCLD on or before 05/12/2022.
-LIC500 Personnel Report
-LIC308 Designation of Administrative Responsibility
-LIC610 Emergency Disaster Plan
-An updated copy of Administrator Certificate(s)
Exit interview conducted and a copy of this report provided.
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