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25 | Licensing Program Analyst (LPA) Melana Llopis arrived at the facility unannounced on 08/20/2021 to conduct a Required - 1 Year inspection. LPA met with Administrator, Teofil Anton and explained the purpose of the visit. Prior to visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; upon entry LPA completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical Mask. Additionally, LPA was screened by Rodica Anton, staff, upon entering the facility.
LPA and Administrator toured the facility together. Areas inspected include but are not limited to the following:
Kitchen, living room, dinning area, resident bedrooms and bathrooms and backyard. LPA found facility to be odor-free and in good repair. LPA observed sharps, toxins and medications to be locked and inaccessible to residents in care. LPA observed there to be an adequate supply of 7 day nonperishable food items and 2 day perishable food items. LPA found resident bedrooms to have sufficient lighting and required furniture. LPA observed grab bars and nonskid mats in the resident bathrooms. LPA found alert devices to be in working order. LPA observed emergency exit paths to be free of barriers. LPA observed a sufficient supply of clean linens. Smoke detectors and carbon monoxide devices were tested and found in working order. A sufficient supply of PPE was observed. Water temperature was measured at 109 degrees F.
LPA found the fire extinguisher to be serviced last on 06/10/2019 and charged.
LPA found first aid kit to be complete. LPA reviewed infection control procedures with Administrator and found facility to be in compliance with those procedures.
LPA reviewed two (2) of two (2) residents' files in care and found records to be complete.
LPA reviewed staff (S1) and the Administrator's file and found staff are associated and have current first aid and CPR training.
LPA conducted a medication audit for resident (R1) and found no errors.
As a result of today's visit, a deficiency is being cited and can be found on LIC809-D page, per California code of regulations, title 22.
Exit interview conducted, copy of report and appeal rights provided. |