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25 | On 12/15/2021, Licensing Program Analysts (LPAs) K. Kaur and A. Walton arrived unannounced at the above facility to conduct an Annual Inspection- Infection Control. LPAs introduced selves, stated the purpose of the visit, and was granted entry to the facility by Caregiver Shannikia Wilks. Caregiver contacted Administrator DeAngela Teasley. Administrator arrived shortly after.
Visitor log-in/temperature check, masks, and disinfection station were observed upon entry. Facility has one entrance/exit point. Hand washing and other various Covid-19 related signs were observed in the common areas.
Facility tour conducted with Administrator. All pathways, entrances and exits were clear from obstructions. No fire clearance issues. Facility staff observed with facial coverings. LPAs toured the facility kitchen. LPAs observed a 7-day supply of non-perishable foods and a 2-day supply of perishable foods. LPAs observed a 30-day supply of PPE and cleaning supplies. Facility has 2 private bedrooms and 1 shared bedroom. Beds in the shared bedroom were 3 feet with head to toe orientation. LPAs checked residents' medication and observed a 30-day supply. Resident’s files have updated emergency contact information. Staff files were reviewed for good health.
No deficiencies were observed.
LPAs are requesting the following documents be submitted to the Fresno CCL office by 12/27/2021: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Emergency and Disaster Plan, Personnel Report (LIC500), Register of Facility Clients/Residents for LIC9020.
An exit interview was conducted with Licensee. As a COVID-19 precautionary measure, a copy of this report will be provided via email. Report signed on-site by Facility Administrator. |