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25 | On 8/15/22, Licensing Program Analyst (LPA) K. Kaur arrived unannounced at the above facility to conduct an Annual Inspection-Infection Control. LPA met with Administrator Jamesie & Harold Gridiron and stated the purpose of the visit. The facility currently does not have any residents.
Visitor log-in/temperature check, masks, and disinfection station were observed upon entry. Facility has one entrance/exit point. Facility staff observed with facial coverings. Facility appeared clean with no obstruction or fire clearance issues. Hand sanitizer was readily available to residents and visitors. Hand washing and other various Covid-19 related signs were observed in the common areas.
Sharp items are kept locked in the laundry room cabinet with medication. cleaning supplies were secured in a locked cabinet in the laundry room. LPA observed a 7-day supply of non-perishable foods and a 2-day supply of perishable foods. Fire extinguisher in the Kitchen was last serviced on 8/10/2022 and was fully charged. Cleaning and PPE supplies were locked in a room next to the living room. Bathrooms have trash cans with lids. Hand washing posters were observed in the bathrooms by the sink.
No deficiencies were observed.
LPA is requesting the following documents be submitted to the Fresno CCL office by 9/05/2022: 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 (LIC610E),
Personnel Report (LIC500), Register of Facility Clients/Residents for LIC9020.
An exit interview was conducted with Licensee. Report signed on-site and printed copy provided. |