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25 | Licensing Program Analyst, Amber Coleman (LPA) arrived at the Sterling Commons (Memory Care) to conduct an Annual Inspection with a focus on Infection Control. Upon approach, LPA observed several infection control signs posted on the main entryway. Upon entering building, LPA had temperature taken by kiosk and signed in. LPA also observed Infection Control Information made available to those who visit. LPA introduced self to staff at front desk and stated purpose of the visit. Administrator, Deborah Staggs was contacted and met with LPA at front and provided LPA place to work. Administrator stated the current census is 49 and at this time, there are no residents or staff members are suspected or showing symptoms of COVID19.
Administrator escorted LPA on walk through facility, LPA made observations concerning infection control. LPA observed COVID19 signs posted on front door and in the staff lounge. Each wing of facility includes two restrooms and a shower room. Each restroom was observed to have adequate amount of paper towels, hand soap and hand sanitizer, and wastebaskets. The restrooms equipped with grab bars and non-slip flooring. The facility staff has a mitigation plan to manage those showing COVID19 symptoms, which includes staff monitoring residents regularly for any changes in condition, which includes daily temperature checks. The facility will contact the resident's physicians in the event of any COVID19 related illnesses. The facility's housekeeping staff are responsible for cleaning and disinfecting the highly touched surfaces during their shifts. LPA toured the facility inside and out and there were no health and safety concerns.
The outdoor and indoor hallways were also free of obstruction, clean and orderly. Each resident room included required furniture and sufficient lighting. The facility had a supply of additional linen and extra hygiene items stored in centralized area.
Fire Drills are conducted on a monthly basis. Last fire drill conducted on 12/16/22 with no issues. Fire extinguishers were located in each hallway. All fully charged and last inspected 12/15/22. Medications are administered by a Nursing Team. Medications observed secure in medication carts around facility.
LPA reviewed resident records and interviewed Licensee. Inspection Tool was utilized, Mitigation plan was reviewed. Facility was further inspected, and no deficiencies were noted. |