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25 | On 11-7-23 at 10:45am, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to conduct a case management visit regarding health and safety. LPA was greeted by lead caregiver staff1 (S1)and explained the purpose of the visit. Administrator Jagtar Singh arrived at approximately 11:45am and met with LPA. LPA conducted facility tour including resident bedrooms, bathrooms, kitchen area, and outside of facility. LPA also conducted brief interview with Administrator and four residents in care. LPA observed water well in use and producing adequate water. LPA also reviewed most recent water analysis indicating proper functioning. Interviews revealed water is adequate in amounts and quality. LPA observed infection control practices in place. Resident4 (R4) is currently on isolation with signage on door and appropriate amounts of personal protective equipment (PPE) in place. Staff on duty are wearing masks and gloves as appropriate. Facility is currently following guidelines of county health department. A call system is in place in select rooms and was observed to be functioning adequately. LPA also observed heating unit to be blowing warm air with facility temperature at 75*F today. During facility tour LPA did not observe roof leaks or evidence of roof leaks throughout facility. A tour of facility bathrooms was conducted to ensure compliance. Bathrooms appeared generally clean. Bathroom floors observed to be stable at this time. Bedrooms and common areas contained all required furniture and furnishings. LPA also observed 2 staff on duty during today's visit.
As a result of today's case management. No deficiencies were observed. Administrator departed facility and gave permission for current on duty lead caregiver S2 to sign in his absence. An exit interview was conducted with S2 and a copy of this report was provided to S2. |