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25 | On 8/18/21 Licensing Program Analyst (LPA) Praveen Singh arrived unannounced to conduct an annual required inspection utilizing the infection control domain. LPA met with Administrator Adina Stan and explained the purpose of the inspection. Prior to initiating the annual inspection, LPA completed required COVID-19 testing protocol, daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask.
LPA toured the facility inside and out including but not limited to living room, dining room, kitchen, bathroom, resident rooms, garage & outside areas. Facility has enough paper and hygiene supplies. Medications are centrally stored in a locked area that is inaccessible to residents and refilled every 30 days. Facility has enough 2-day perishable and 7-day non-perishable food supply. Visitors policy is posted on the front entrance.
Updated copies of the following documents were requested for facility file and are to be sent to CCL by 09/1/21:
• LIC500- Personnel Report
• LIC308- Designation of Facility Responsibility
• LIC610E- Emergency/Disaster Plan
• Evidence of Liability Insurance
LPA and Administrator reviewed and completed the infection control domain and screening policies were discussed and are to be implemented. No deficiencies are being cited as a result of today’s inspection. Exit interview conducted and copy of report emailed. |