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25 | On September 28, 2022, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual infection control inspection. Upon arrival, LPA observed the COVID-19 signage posted at the front entrance. LPA met with Caregiver, Angelina Cruz and explained the purpose of visit. LPA was screened at entry point and Caregiver was able to provide LPA screening log documentation for residents, staff, and visitors.
LPA toured the facility and grounds. No accessible bodies of water or fire safety hazards observed. This is a single story home with 3 resident bedrooms, 2 full bathrooms, and two staff rooms. LPA toured the dining room and living room to be clear from any tripping hazards. A comfortable temperature of 68 degrees F is maintained and lighting is sufficient for comfort. Extra linen was observed to be present. LPA toured all three resident rooms and observed them to be shared rooms with beds 6ft apart. One bedroom was observed to have a full bathroom and it was observed to be equipped with liquid soap, hand-washing signs, and a trash can with a fitted lid. LPA observed shower to have broken tiles on the floor. According to the Caregiver, the tiles would be fixed, however would come off. In addition, it was indicated that the facility is awaiting for maintenance repair company to come and fix the floor. According to the Caregiver, there are no toilet paper or paper-towels accessible due to resident's behaviors. LPA toured the 2nd full bathroom and observed it to be equipped with liquid soap, paper-towels, and a hand washing sign. LPA advised caregiver to ensure the trash can has a fitted lid and to remove all bath-towels and hand-towels.
LPA toured the kitchen and observed 2 day perishable and 7 day non-perishable. Medication cabinet was observed to be locked and inaccessible to residents in care.
Toxins and sharps are stored appropriately and inaccessible to residents. LPA observed three staff members present during the visit, all were observed with a face mask.
LPA toured the garage and observed washer and dryer to be in good repair and observed extra food supply present. LPA observed 30-day PPE supply present. Infection control practices are observed: daily monitoring log for residents and visitors, face coverings for staff, 30-day PPE supply, staff training and containment strategies, COVID-19 signage throughout the facility.
LPA requests the following forms to be submitted to CCLD by 10/5/22:
-LIC308 Designation of Administrative Responsibility
-LIC500 Personnel Report
-LIC400 Resident Cash Resources
-Copy of Surety Bond
-LIC610D Emergency Disaster Plan
-Administrator Certificate
No citations are issued during this visit. Report is reviewed with Caregiver, and a copy is provided . |