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25 | Licensing Program Analysts (LPA) Elizabeth Irra conducted an unannounced Required- 1 year visit focusing on COVID-19 Infection Control Practices. LPAs met with Facility Administrator and explained the purpose of the visit.
- COVID-19 Infection Control Practices (including signs) were observed at the entrance of this home, in all common rooms and hallways. Signs are posted throughout the facility to promote hand washing, cough/sneeze etiquette, and physical distancing.
- Facility has four (4) designated isolation rooms available if a COVID-19 positive case should arise (isolation wing). Each room has their own PPE supply cart, trashcan with lid and isolation signage on the door.
- Medications for (4) Residents were reviewed.
- PPE supplies: (4) different locations with PPE supplies- near medication room, storage room, north wing and south wing. Additionally, incontinence supplies and cleaning supplies were observed.
- Beds: Beds have been moved according to guidelines. However, rooms were observed to have a separation between beds which consisted of a rod holding removable curtains to prevent COVID transmission. Administrator will have these items removed as the facility has a designated wing for COVID. Technical Advisory Note provided.
- Staff responsible for direct care and supervision were observed wearing masks.
- Food: Sufficient supply of perishable for 2 days & non-perishable foods for 7 days were observed. Food supply is stored and prepared in the kitchen located next to this building. Per Facility Administrator, meals are still being offered in a staggered manner. Dinning area: (2) residents per table. in-room food trays are also being provided.
- Residents were socially distanced according to local public health guidelines. Per Administrator, per Pasadena Public Health Department (PPHD) requires a weekly report each Monday and a line-list is sent daily (including weekends).
There are no deficiencies noted. Exit interview conducted, a copy of this report and Appeal Rights were provided to Facility Administrator |