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25 | On 10/12/2021, Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA observed COVID-19 signs posted by the entrance. LPA was greeted by the Administrator, Naoko Jones. LPA explained the purpose of the visit and LPA was screened at the front entrance.
The Administrator and the Resident Service Director provided a toured of the facility and grounds. No accessible bodies of water or fire safety hazards observed. Infection control practices are reviewed: entry procedures, staff training and policies, staff randomly testing records, resident and staff daily monitoring records, containment strategies (facility has reserved 2 private apartments with their own bathrooms and shower rooms on the first floor for isolation. quarantine purposes), PPE supply (the staff conducts weekly inventory count and the Resident Service Director orders the supplies accordingly on a weekly basis) and the environmental cleaning supply are adequate, bathrooms are equipped with soap and paper towels, and hand washing instruction is posted by the hand washing stations. Signs are posted through-out the facility. Residents are observed to be wearing face masks and maintaining social distancing during activities and meals. There are COVID-19 signs posted inside and outside of the elevator and hand sanitizer station outside.
Medications, toxins and sharps are stored appropriately and inaccessible to resident, a comfortable temperature is maintained, lighting is sufficient for comfort and safety
No deficiency cited today. This report is reviewed and discussed with the Administrator and the Resident Service Director. A copy is provided. |