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25 | Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced annual inspection on November 30, 2021. LPA Correia met Administrator Grace Reyes at the front door, identified herself, and was granted entrance into the facility. LPA explained the purpose of the visit to Administrator Reyes and Licensee Ian Baylon, who arrived a short time later
LPA Correia accompanied by Administrator Reyes and Licensee Baylon conducted an overall tour of the facility to ensure accordance with the Department’s Infection Control. LPA provided technical assistance, evaluated, and observed the facility's implementation of their mitigation plan to include vaccination tracking, disinfection, testing surveillance, and screening protocols as well as the use of personal protective equipment (PPE). LPA assessed the strategies that the facility is employing for the prevention, containment and mitigation of COVID-19, implementation of infection control guidance, ability to quarantine or isolate if necessary and essential health and safety.
LPA observed one central entry point for universal entry screening; routine symptom screening initiated at entry for staff, residents and visitors; a sign-in policy enacted for all visitors; signs posted throughout the facility to promote hand hygiene, cough/sneeze etiquette and physical distancing; face coverings worn by staff and clients as much as possible; hand sanitizer/hand washing stations readily available; a designated visitation area; emergency agencies’ contact information posted in a location visible to staff and residents; and an adequate supply of PPE. The facility is in compliance with and has implemented infection control practices as outlined in its LIC 808.
An exit interview was conducted and this report along with a copy of the Licensee rights (LIC9058 01/16) was emailed to the Licensee with an electronic read receipt as confirmation of documents. |