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25 | On 10-12-22 at 12:30pm, Licensing Program Analyst, (LPA) Michael Bilger arrived at this facility unannounced to conduct an annual inspection visit. LPA met with the administrator Mary Margaret Chappell 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 areas, and outside yard of the facility to ensure compliance with Title 22 regulations. Facility is an 82-bed assisted living facility with a current census of 68. LPA also conducted the infection control domain tool.
The facility has an approved COVID Mitigation plan LIC 808 form in place. 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. 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. No obstructions to fire exits noted. LPA reviewed 5 staff charts and 5 resident charts. All first aid and CPR certifications are current. Fingerprint clearance in place. Medication log sheets were reviewed; 5 of 5 log sheets reviewed were accurate and up to date.
Water temperature reads between 105*F and 120*F in the bathroom and room temperature reads 72*F throughout. LPA observed the facility to have adequate food supply. Resident rooms were sanitary and had the required furniture and furnishings. No foul odors detected throughout facility. The facility common areas were clean and furnished. Smoke and carbon detectors were in good repair. Fire extinguisher was checked 5/4/22. Facility has an emergency food and water kit.
Per California Code of Regulations, Title 22, no deficiencies were observed during this visit. Exit interview was held and a report was given to Administrator Mary Margaret Chappell. |