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25 | Licensing Program Analyst (LPA) Victoria Brown and Health Care Associated Infections (HAI) representative Kristy Trausche, Infection Preventionist, CDPH conducted a joint visit on 1/5/22 at 9:00am. The team met with Caleb Summerhays, Administrator, Deborah Gagle, Administrative Assistant, Shavell Jeffries, Resident Care Coordinator and stated the purpose of the visit. This Health and Safety visit is to ensure the facility is following the appropriate infection control protocols. The facility is licensed for a capacity of 121 non-ambulatory residents. There is a hospice waiver approved for 3 of which 2 are utilizing the hospice services.
Community Care Licensing (CCL) received a call from the Administrator Caleb Summerhays indicating there were positive cases of Covid. The last known positive case was on 12/30/21. As of today, there are 2 residents who tested positive of which 0 have cleared and 0 deaths. There are 2 staff who tested positive of which 0 have cleared and 0 deaths.
The team toured the physical plant. The team observed the assisted living area during this visit, a random number of residents were interviewed and observed. The team observed the area that are considered to be the red zone.
The HAI suggested a few recommendations during this visit. The recommendations are as follows:
-Conduct N95 Fit Testing annually and/or when a person loses or gains 10% of their body weight
-Staff to wear eye protection, gowns, gloves and N95 in red zone for direct care being given
-Use EPA disinfectants utilizing the wet time in break rooms and all surfaces
-Keep plan in place to ensure no staffing shortage
-Try to have those dining together continue to dine together to lessen exposure
-Conduct mask seal checks on every shift
-Additional storage for Donning/Doffing
-Ensure staff working with covid positives are not commingling with covid negatives
-Promote social distancing and hand hygiene
In addition, facility is to submit an updated Mitigation Plan to CCL by 1/7/22.
Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies are being cited during this visit. Exit interview held with Administrator. A copy of todays’ report provided. |