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25 | On 11/15/2022 at 12:05 AM, Licensing Program Analyst (LPA) L. Holmes conducted an unannounced Infection Control Inspection. LPA explained the purpose for the visit to Valencia Thomas, Direct Support Provider (DSP). Current Administrator Dejeon Gomes was telephoned, not able to meet at this time and DSP will sign the report.
Facility has a COVID-19 mitigation plan on file. LPA obtained a staff and resident roster. LPA observed a screening station at the entry that contained thermometer, hand sanitizer, and COVID-19 signage, and a visitor sign-in log. LPA toured the facility including, but not limited to common areas, bathroom, bedrooms, kitchen, and backyard. LPA observed masks, cough etiquette, social distancing and hand washing signs posted throughout. ADM to post 20 seconds to hand washing signs and add covered garbage cans to shared bedrooms. 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. There is a surplus of PPE stored in inside the facility that is accessible to all care staff. Hot water temperature in the shared residents' bathroom was measured at 107.9 degree Fahrenheit (F) and the facility's temperature was at a comfortable degree. Fire extinguisher was observed full and last inspected on 09/22/2022. Smoke/Carbon Monoxide detectors were observed operational and first aid kit locked and secured.
The following forms are to be updated and submitted to CCLD:
-LIC500 Personnel Report (Received staff roster)
-LIC308 Designation of Administrative Responsibility
-LIC610E Emergency Disaster Plan (Reviewed)
-An updated copy of Administrator Certificate(s)
Exit interview conducted and a copy of this report provided. |