1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit. At 1:00 p.m., the LPA met with staff and explained the reason for the visit. At 1:10 p.m., one of the Administrators arrived at the facility. This annual had a specific emphasis on infection control practices and procedures.
At 1:24 p.m., the LPA, along with the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards. KITCHEN: The LPA observed the kitchen/dining area. Knives are stored in a locked kitchen drawer. Kitchen appliances appear to be in an operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 1:28 p.m., hot water measured at 113.1-degree Fahrenheit. Medications and first aid kits are located in a locked kitchen cabinet. BEDROOMS: The LPA observed resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Inside temperature was maintained at a comfortable level. RESTROOMS: Restrooms are relatively clean and sanitary and in operating condition with grab bars and non-skid mats. At 1:35 p.m., hot water measured at 105.1-degree Fahrenheit. The sinks had sufficient liquid soap, and paper towels. COMMON AREA: The LPA observed common area to be relatively clean and properly furnished. The LPA observed the fire extinguishers to be fully charged and last serviced on 11/10/2022. Signs are posted throughout facility to promote handwashing, and cough/sneeze etiquette. At 1:38 p.m., fire alarms/carbon monoxide detectors were tested and functioned properly. The LPA observed cameras in the common area. OUTDOOR SPACE: The LPA observed the back patio which has a covered outdoor area for resident use. There are bodies of water on the premises at the time of the visit, but the pool is fenced and locked. Laundry units, cleaning solutions, chemicals and hazardous items were inaccessible and locked away inside the locked garage. INFECTION CONTROL: During today’s visit, the LPA spoke with the Administrator regarding the facility’s infection control practices. The LPA observed 30 days of Personal Protection Equipment (PPE). The facility’s policies and procedures as it pertains to infection control are adequate. No deficiencies were observed at this time. Exit interview conducted. A copy of the report was provided via email and print. |