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25 | On this day at 1200, Licensing Program Analyst (LPA) Jaime Vado and Komal Charitra conducted an unannounced infection control annual inspection. LPAs met with administrator Ricardo Aban and Martha Estalino and explained purpose of today's inspection. No accessible bodies of water or fire safety hazards observed. Infection control practices are reviewed: entry procedures, staff training and policies, resident monitoring, containment strategies, environmental preparation and cleaning. PPE supply is observed as in place. Medications, toxins and sharps are stored appropriately and inaccessible to clients. Facility ambient temperature is warm and comfortable, and lighting is sufficient for residents and staff safety. Toilet and bathing facilities are equipped with grab bars and non-skid flooring material. Liquid soap is available. First-aid kit is inspected and is complete. A Disaster and Mass Casualty Plan is observed. Residents are observed during today's visit. Staff is observed on all floors wearing masks. Food supplies are also observed as not in place. Two day perishable and one week non-perishable food supplies are observed as not in place. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed. Administrator certificate is viewed as current expiring 03/25/2023. Mitigation plan is reviewed and remains current.
The following updated forms are requested to be submitted to CCLD by 09/17/2021:
• Administrator Certificate
• LIC 308 Designation of Administrative Responsibility
• LIC 309 Administrative Organization
• LIC 500 Personnel Report
• LIC 610E Emergency Disaster Plan
Deficiency of the RCFE California Code of Regulations, Title 22, Division 6, Chapter 8 is observed and cited on a following page. Report is reviewed with Ricardo. |