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25 | Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced Annual/Required visit with the primary focus on Infection Control measures and using the new CARE Inspection Tool. Upon arrival at the facility, LPA Bunker conducted a risk assessment. Based on the assessment, the facility is clear of COVID-19 infection. LPA Bunker was properly screened for COVID-19 symptoms and temperature was checked. LPA Bunker met with Administrator Precious Dennis and explained the purpose of today's Annual Inspection. LPA verified that the facility has an approved Mitigation Plan Report and Infection Control Report. There are currently six (6), Residential Care Facility for the Elderly (RCFE) residents in placement. The facility's annual fees are current. The facility is a single-story family home located in a residential neighborhood. Administrator Ms. Dennis and LPA Bunker toured the facility which consisted of the following: A living room, 4 bedrooms, 2 bathrooms, dining room, kitchen, laundry area, detached garage, shaded area, and indoor/outdoor activity areas. Bedrooms #1-4, and bathrooms #1-2 are designated for the residents. LPA Bunker observed the facility’s infection control practices, screening protocols for residents and visitors, sanitizer, visitor log, and thermometer at the facility entrance. Logs of daily COVID-19 screening and temperature checks of residents and staff were available and updated. PPE supplies are readily available to staff, and an additional supply of Personal Protective Equipment (PPE) was observed. Sufficient liquid soap, paper goods, cleaning, and disinfecting supplies were observed. Documents were posted as mandated. The following Title 22 regulated areas were audited and found to be in compliance: Bedrooms contain the required furniture. The resident's bedrooms were inspected for safety, privacy, and comfort. The living areas are clean, bathrooms are clean and operational. The first aid kit is fully stocked with a manual, the hot water temperature was measured at 110 degrees Fahrenheit, the telephones are working, the smoke and carbon monoxide detectors are in compliance, the fire extinguishers are fully charged, The resident’s medications were locked reviewed for proper storage, documentation, and system implementation, there is an ample supply of perishable and nonperishable food and adequate linen supply. No firearms on the premises, the resident's bedroom windows had no sliding window lock with thumbscrew, all exit doors were in compliance, covered trash cans, and no bodies of water were present. Hazardous items are inaccessible to residents, the yard is free of debris and hazards. LPA Bunker will return at a later date to complete the annual visit. There were no deficiencies cited. Exit interview conducted. |