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25 | Licensing Program Analyst (LPA) David Sicairos conducted an unannounced annual visit using the Infection Control Evaluation Tool. LPA met with Administrator Christina Haddadin and explained the reason for the visit. Physical Plant was toured, sample record of medications were reviewed, and food supply was inspected.
The following was observed/inspected:
- LPA and Administrator toured the facility and inspected a random selection of client bedrooms, client bathrooms, kitchen, linen room, and laundry room. The patio areas are well maintained and there are no pools or large bodies of water. There is a shaded seating area for the clients located bear the entrance of the facility. Passageways and exits are free of obstruction. The water temperature was tested in bathroom #1 near the office and measured at 114.3F which is within the required 105F - 120F degrees. Client bedrooms have the required furniture such as bed frames, dressers, lamps and chairs. Bedrooms also have sufficient closet space. Client beds have the required linen and the linen is in good condition. Smoke detectors were observed throughout the facility and were tested and operable during the visit. There are 2 carbon monoxide detectors (one in each hallway) which were functioning properly. There are multiple fire extinguishers located throughout the facility and they are fully charged. Kitchen appliances are clean and were operating at the time of the visit. Sharps are locked in the kitchen which is inaccessible to the clients. Cleaning supplies and disinfectants are locked in the janitor closet and/or garage and are inaccessible to clients. First Aid kit was fully stocked with current manual.
- Signs are posted throughout the facility to promote hand washing, cough/sneeze etiquette, and physical distancing.
- Staff were observed wearing masks and screening visitors at entry.
- Sufficient supply of 2 days perishable & 7 days non-perishable foods were observed.
- (6) out of the (22) client medications were reviewed. Medications are centrally stored in the office and are inaccessible to the clients. Medications are documented properly and given as prescribed.
- Staff and Client files were not reviewed during today's visit.
Per California Code of Regulations, Title 22, and California Health and Safety Code, there were no deficiencies observed during the visit. Exit interview held and a copy of the report was provided. |