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25 | Licensing Program Analyst (LPA) Nicole Spencer conducted an unannounced annual inspection visit focusing on the Infection Control Domain. LPA Spencer met with administrator Janette Hill and explained the purpose of today's visit.
This three story residential care facility for the elderly (RCFE) is licensed at a capacity of 114. LPA conducted a physical plant tour and inspected the entrance screening area, memory care unit, visitation area, dining room, kitchen, common areas, nine (9) resident rooms, medications room, and PPE supply areas.
The following was observed/inspected:
- A universal screening area was observed and consisted of a screening log, temperature check, and hand sanitizer.
- COVID-19 signage was observed in some areas of the facility.
- There was sufficient supply of 2-day perishable and 7-day non-perishable foods.
- Sharps and chemicals were stored and inaccessible to residents.
- Facility maintained over a 30-day supply of PPE.
- Nine (9) resident rooms were observed and had all required furniture including bed, dresser, chair, lamp, night stand, and trash can.
- Hot water temperature was measured and was between the required 105-120 degrees F.
- Medications were centrally stored and locked and were reviewed for seven (7) residents.
- Smoke detectors/carbon monoxide detectors were tested and functional.
- All fire extinguishers were fully charged and last serviced in December 2020.
- Three (3) resident files were reviewed and all emergency contact information was up-to-date.
- Technical advisories were issued on separate 9102 form.
There were no deficiencies cited at this time. An exit interview was conducted with the administrator and a copy of the report was provided. |