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25 | On February 10, 2021, Licensing Program Manager (LPM) Liza King, Licensing Program Analyst (LPA) Ashley Boothe, and Licensing Program Analyst (LPA) Jamie Vado conducted an unannounced case management visit via Teams at 9am with Infection Preventionist Ricardo Aban and Executive Director Martha Estalano.
Current census 26. Ricardo stated there have been no new resident incidents. Two residents cleared from the Red Zone and there is one resident remaining in the Red Zone until 2/13/2021.
Floor three observed. The red zone entrance is partitioned at hallway entrance next to room 16 with a wall mounted hand sanitizer and all COVID precaution signs posted. Staff one (S1) was observed cleaning Room 16 using Zep with 3 minute sit time and stated he is using one capful bleach to one gallon of water and changing the mop buckets and twice daily. LPM sent email with bleach dilution instructions again and requested Ricardo provide staff training and provide the RO with proof of all staff training by 2/12/2021. Observed room 17 with doffing signs and instructions, touchless trashcan for discarded PPE, resident reminder on door to ask for assistance and keep the door closed, a lined laundry hamper, extra linens and incontinent products stored in the closet. Ricardo stated each room now has a TV. Observed room 17 restroom with handwashing sign, soap, paper towels, and touchless covered trash can. PPE station observed and Ricardo stated PPE stored in the Red Zone is at least a 14 day supply. Ricardo stated he placed an order for 400 more PPE and stored in Red Zone. Wipes observed and Ricardo stated they are tamper proof for residents. Staff break room observed and restroom with handwashing sign, soap, paper towels, and touchless covered trash can. Ricardo stated designated staff enter clean through main facility entrance and enter red zone through partition between rooms 3 and 5 and then at the end of their shift exit though exit door between rooms 17 and 18. Observed a variety of wipes with different sit times and LPM recommended Ricardo provide training on the different sit times to staff. Resident room18 observed to be closed with sign posted of when residents start and stop isolation. Designated staff caring for red zone residents are staying at a hotel. At 9:29am observed room 10 with a plug and electrical cord run in between a notch in the door jam and the exit door to the patio and plugged into an exterior electrical outlet, while no damaged was observed on the cord, LPA recommended to have an electrician ensure it was not hazardous. During exit interview Ricardo stated they have removed the cord. Observed exit door between rooms 8 and 9 locked with a working alarm turned on.
Continued on 809 C. |