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25 | On 11/1/21, Licensing Program Analyst (LPA), Mohamed Filouane, conducted an unannounced 1-year required infection control inspection. At approximately 10:40 AM, LPA met with a staff member at the front door of the facility and explained the purpose of the visit. LPA was sanitized following the facility's entrance health and safety procedures. LPA also had his temperature checked and logged and then signed into the facility.
At approximately 10:50 AM, LPA met with Administrator Mai Xiong and conducted a tour of the facility with the Administrator. The physical plant is consistent with the submitted facility floor plan and has the COVID-19 health and safety signage. There are no obstructions blocking indoor and outdoor passageways. No pools or bodies of water observed. The facility's kitchen is free of debris. Facility refrigerator is stocked with meats, eggs, vegetables, milk, and fruit. Seven-day non-perishable food supply and two-day perishable food supply is sufficient. At 10:55 AM, LPA observed the facility's restrooms as clean and equipped with hand washing signage. The facility's backyard was free of debris.
The clients' bedrooms were inspected and all had the required lighting and furniture. Facility was equipped with smoke detectors and carbon monoxide detectors. LPA also observed the fire extinguisher as current. The facility's first aid kit included the required tweezers, scissors, and a thermometer. Cleaning solutions are stored and locked. Medication supply is also stored and locked. PPE supply is sufficient, as stated by the Administrator. Additional wipes and sanitizer are stored in the garage.
At approximately 11:10 AM, LPA completed the tour of the facility and began writing this report. LPA reviewed facility procedures for visitation entrance, temperature checks and logs, COVID-19 isolation, PPE, food and cleaning supply storage.
No deficiencies were cited today. Exit interview conducted with Administrator. A copy of this report will be emailed to the facility. |