1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | Licensing Program Analyst (LPA) Galarza conducted an unannounced Required- 1 year visit focusing on COVID-19 Infection Control Practices. LPAs met with Administrator Hiransha Keerthisinghe and explained the purpose of the visit. There are 6 residents ages 60 and above. The The facility has a Dementia Waiver in place. A hospice waiver for 4 residents is in place. The facility is a single story home located in a residential neighborhood that is licensed for 6 non-ambulatory residents, of which 1 may be bedridden. It consists of 4 bedrooms, 2 bathrooms, living room, family room/dining area, kitchen, outdoor covered patio, and a detached garage with laundry area. The last fire drill was conducted on 1/20/22. Administrator certificate expires 10/9/2021.
The following were observed/inspected:
- COVID-19 Infection Control screening and signs were observed in the entrance, common areas, hallways, and bathrooms. Signs are posted throughout the facility to promote hand washing, cough/sneeze etiquette, and physical distancing. No health and safety issues were observed.
- Facility has an approved COVID-19 Mitigation Plan.
- Room #4 has been designated as a COVID-19 solation room if needed.
- Three (3) centrally stored resident medication records were reviewed.
- Staff were observed wearing a surgical mask.
- Residents in care were not observed wearing masks, as it is not tolerated due to health issues.
- Sufficient supply of perishable for 2 days & non-perishable foods for 7 days were observed.
- A posted Emergency Disaster Plan was observed.
- Sufficient supply of Personal Protective Equipment (PPEs) was observed.
- Staff and resident files were not reviewed during today's visit.
No deficiencies were cited.
Exit interview was conducted with Administrator Hiransha Keerthisinghe . A copy of the report was issued. |