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25 | Licensing Program Analyst (LPA) Wolter arrived at the facility unannounced on 06/24/2021 to conduct a Required-1 Year Inspection utilizing the infection control domain, LPA met with administrator, Lynn Reloza and explained the purpose of the visit. Prior to initiating the annual inspection, LPA completed required COVID-19 testing protocols, a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms and contacted facility and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N-95 Mask. Additionally, LPA was screened by facility staff upon entry.
LPA and administrator toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, brief inspection of four (4) resident bedrooms, three (3) resident bathrooms, shower room, and outdoor area. In the areas toured no immediate health, safety, or personal rights violations were observed.
LPA and administrator completed the infection control domain and facility was found to be in substantial compliance at this time.
No deficiencies are being cited as a result of todays inspection.
Exit interview conducted and copy of report to be sent to administrator.
Administrator to send in updated copy of LIC 500 - Personnel Report, LIC 610E and LIC 808 by 07/02/2021. LPA observed facility has liability insurance and requested a copy be sent when it's renewed. |