Executive Director conducted the tour which began at 2:10 pm. Executive Director confirmed there seventy (70) residents in the assisted living section and twenty (20) residents in memory care. All parties observed the COVID signage at the front entrance and it was recommended for the COVID Notice sign be placed at each entrance locations. Executive Director confirmed will place the signs on the facility entrances. Also Nurse De Leon stated HVAC should be placed on the setting which will circulate the air.

All parties observed the sign in station which included thermometer, masks, and sign in sheet. It was recommended to confirm all visitors answer the COVID questions, present vaccination card, and show proof the visitor had a negative COVID test results within the last twenty-four hours. It was also discussed the rapid test can be used to test visitors when entering the facility. It was also recommended that all visitors will be properly screened to prevent the spreading of COVID within the facility.

Nurse De Leon stated since there are positive cases in the memory care section, the memory care staff should not provide care to the assisted living residents who are negative. Executive Director stated will follow the recommendations. Nurse De Leon confirmed positive residents should isolate for ten days if symptomatic. If positive residents are asymptomatic after day five, residents can be tested and if negative, quarantine can end at that time. If a resident still tests positive with the PCR test after the ten-day quarantine, a rapid test can be used for testing.

Nurse De Leon stated there should be designated staff to care for the residents who have tested negative. Nurse also advised staff use the PCR test for the memory care residents who previously tested negative. Also the Nurse stated the staff members who tested positive may work in the memory care section of the facility.

All parties observed the red zone section within memory care. Nurse confirmed a bin should either be placed in the infected room or outside the room depending upon caregiver removing the PPE. Also, Nurse stated respiratory signs should be placed on the door of the infected rooms. Nurse also stated hand sanitizer should be located at each station..

Upon viewing the kitchen, all parties observed staff were wearing gloves, face shields, and the medical masks. Nurse confirmed that staff who wash the dishes and staff who conduct food preparation should wear the gloves, medical masks and face shield to protect themselves. When entering the laundry room, Nurse confirmed laundry staff should wear gown, gloves, face shield and surgical gowns when handling dirty laundry.

Nurse De Leon stated staff should be instructed not to wear a surgical mask and N-95 mask at the same time. Nurse stated this creates gaps around the staff’s face. Also stated when staff begin breaks, surgical masks and N95 masks should be removed before entering the break room. Staff should place clean masks when leaving the break room.

The tour ended at 3:09 pm. Exit interview conducted and the Executive Director was instructed to sign the report and send to LPA Spaeth.