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25 | On 7-12-22 at 12:45pm, Licensing Program Analyst ( LPA) Michael Bilger arrived at this facility unannounced to conduct an annual inspection visit. LPA met with Administrator Anuradha Saini and explained the purpose of the visit.
LPA Bilger inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, living area, common TV area, and outside area of the facility to ensure compliance with Title 22 regulations. Facility is a 158-bed assisted living facility for the elderly with a current census of 85. LPA was screened upon entry for temperature and asked to sign in. COVID screening questions were asked prior to entry. Facility has 89 bedrooms and 89 bathrooms. There is a formal dining room off the kitchen area for residents. All knives, toxins, and other chemicals were inaccessible to residents in care. "See something, Say something" poster was in place. Staff were wearing masks while on duty. Hand sanitizer was readily available. Facility has 30-day supply of PPE on hand. Resident rights and rights of resident council notices posted. Emergency disaster plan and facility sketch updated and posted. LPA reviewed 8 resident charts and 5 staff charts. All staff charts contained updated first aid and COVID-19 vaccinations . All resident charts contained regulatory contents. Infection control tool completed.
The facility has an approved COVID mitigation plan. The facility has central entry point and has implemented screening and sign in procedures at the front door area. The facility conducts routine symptom screening for employees, residents, and visitors. LPA observed the facility to have hand washing, COVID - 19 informational, and social distancing signs posted throughout the facility, on the front door, and outside area including smoking area. The facility has a designated infection control lead. The facility is able to designate and dedicated a Covid-19 room/bathroom if needed. Common touch surfaces are cleaned after each use.
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