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25 | This is the amended copy of the licensing report previously issued on 6/10/21. This report was amended to add additional information regarding the physical plant inspection. Licensing Program Analyst (LPA) Rosaura Valenzuela conducted an unannounced Required One (1) year infection control inspection at the facility. LPA met with Administrator Vien Nguyen and explained the reason for the visit. A tour of the physical plant was conducted at 2:07pm and the following was noted: There is only one entrance being utilized at the facility, there are required posters posted at the main door. Screening area is located immediately upon entrance. Sign in sheet and hand sanitizer are available. LPA was screened upon entry. All staff were observed to be wearing mask upon entrance and during the visit. The facility had submitted and approved Mitigation Plan. Signs to wear a mask and other COVID-19 prevention protocol signs were posted outside of the facility. Hand washing, coughing etiquette, physical distancing and other necessary signs were posted in the bathroom and all over the facility. The facility has a designated visitors' area at the back by the garage. The facility has sufficient stock of PPE in the storage room. The facility has four (4) bedrooms and two (2) bathrooms, currently occupied by six (6) residents. Two (2) rooms are shared and two (2) rooms are private. Living and dining room furniture were also checked and observed to be in good condition. The living room is neat and clean. The smoke detectors were observed to be operational. There is a carbon monoxide detector installed in the facility. The facility maintained a temperature of 78 degrees. There is no body of water at the facility. There is also a locked shed at the backyard that is used as an equipment storage. The garage is detached to the facility and currently is being used to store miscellaneous objects. Laundry area is located adjacent to the bathroom and laundry detergents, cleaning agents and other toxins are stored in a cabinet in the laundry area which was observed to be locked. Food Service/Kitchen area was sufficiently stocked with two (2) days of perishable and seven (7) days of non-perishable food. The residents' rooms are adequately furnished with appropriate furniture and lighting systems. Hallways/passage ways have lights. The bathroom was checked for cleanliness and proper operation. LPA observed the appropriate grab bars in the shower. Medications-LPA observed medications to be locked and inaccessible to residents. Exit interview conducted.
A copy of the report was issued and signature obtained. |