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25 | Licensing Program Analysts (LPAs) Cynthia Chan and Kimberly Ramirez conducted the unannounced annual inspection with the focus of the infection control domain. LPAs met with Wellness Director, Ruby Racca-Magao, who assisted with the visit. The facility is licensed for 85 non-ambulatory residents, age 60 and over, of which 9 may be bedridden. The hospice waiver is approved for 20 residents.
LPAs toured the facility and observed the following:
* The building consists of 5 floors. The first through fourth floors consist of residents rooms and the fifth floor is the dining area. The common areas are located on the first and third floor.
* Covid-19 signage are posted throughout the facility. Hand washing signs are posted in the bathrooms.
* Extra PPE supplies of at least 30 days are observed.
* The facility has a digital Covid-19 screening form for all staff and visitors.
* LPAs inspected rooms #107, #117, #212, #215, #308, #314, #404, and #405. The rooms are clean and have the required furnishings.
* Food supplies of 2 day perishable and a week of non-perishable are observed.
* Medications are centrally stored in the Wellness Office. LPAs reviewed 4 residents' medications and medications are being administered as prescribed. These 4 residents' files also have updated emergency contact information forms.
* 3 Staff and 4 Residents were interviewed.
* Staff were observed wearing a face mask.
* Staff are cleaning and disinfecting on each shift and more often for high touched surfaces.
* Per the Wellness Director, they have backup staff when needed and are following the strictest covid-19 guidance.
There are no deficiencies issued today. The exit interview was held. A copy of this report was given to the Administrator. |