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25 | Licensing Program Analyst (LPA) Gary Tan conducted an unannounced One (1) year Required Infection Control visit at this facility. LPA met with staff Rena Danielyan and Elmira Melkumova. Staff called the administrator and explained the purpose of this visit. The administrator designated Ms.Danielyan to sign the report.
A tour of the physical plant was conducted at 12:30 PM and the following was observed:
The facility has one main entrance being used, required Covid-19 prevention signage (hand washing, coughing etiquette and physical distancing) are posted on the door. The PPE screening station is located in the living room area on a table equipped with sufficient PPE readily accessible, a thermometer, hand sanitizer, gloves, mask and sign in sheet at the time of visit. Visitors are required to wear mask.
The facility has an approved mitigation plan on file.
The facility is a single storey building and has four (4) bedrooms and two (2) bathrooms. Fire cleared for six (6) non-ambulatory residents, two (2) of which maybe bedridden. Hospice waiver for four (4) residents. There are currently three (3) hospice residents during visit and all residents are non-ambulatory.
Living and dining room furniture were checked. The living room is neat and clean along with the dining room. Furniture were observed to be in good repair and excellent condition. The facility maintains a comfortable temperature at 75°F. The smoke alarms are hardwired and interconnected and observed to be operational. There is a carbon monoxide detector installed at the facility. The facility is equipped with sprinkler system. Fire extinguisher is located at living room and observed to be full and last bought on 04/04/22.
(continued on LIC 809-C) |