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25 | Licensing Program Analyst (LPA) Ashley Smith arrived unannounced to conduct a required annual visit. This annual had a specific emphasis on infection control practices. The LPA initially met with staff, whom contacted the Administrator. The LPA spoke with Administrator Amy Arzumanyan over the phone, whom arrived shortly after. The LPA, along with staff, toured the facility to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.
KITCHEN: Knives and chemicals are locked inaccessible. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. BEDROOMS: Bedrooms had appropriate furniture, clean linens and sufficient lighting. Rooms were clean and clear of obstructions. RESTROOMS: The restrooms were clean and sanitary with grab bars and non-skid surfaces. At 2:30 p.m., water temperature measured at 111.7 F. Restrooms were stocked with soap and paper towels. COMMON SPACES: The facility maintained a temperature of 71 degrees. Medications were kept locked in a cabinet in the kitchen. Smoke detectors and carbon monoxide detectors were operable. Living room and dining furniture were observed in good condition. The fireplace was covered and inaccessible. The backyard had furniture and a covered area. No obstructions observed in the exterior or interior. No bodies of water noted.
INFECTION CONTROL: There is a central entry point for screening and temperature checks. Appropriate infection control signage was observed throughout the facility. The facility’s cleaning protocol is sufficient. There is record of staff and resident vaccinations. The facility can designate a room to isolate persons if there is a confirmed case of COVID-19. Staff are up to date regarding guidelines around visitation and vaccine requirements. The facility has a sufficient supply of Personal Protection Equipment (PPE) and can obtain additional supplies as needed. The facility continues to conduct weekly surveillance testing at this time. The policies and procedures pertaining to infection control were adequate.
No deficiencies cited. Exit interview conducted. Report issued. |