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25 | On October 11, 2022, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual infection control inspection. Upon arrival LPA observed the COVID-19 signage posted on the front door. LPA was greeted by Executive Director, Rick Gagarin and explained the purpose of the visit. LPA was screened at entry point and Executive Director was able to show LPA screening log protocols for staff, residents, and visitors on their digital devices.
LPA toured the facility and grounds. No accessible bodies of water or fire safety hazards observed. This is a four story facility; Assisted Living (AL) residents on the first and second floor, Reminiscence (memory care) on the third floor, and Terrace Club for residents with mild cognitive impairment (MCI) on the fourth floor. LPA toured the facility with the Executive Director and observed bathrooms on each floor to equipped with paper towels, hand washing signs, liquid soap, grab bars, and a trash can with a fitted lid. The bathrooms were clean and odor-free.
Medication carts were observed on each floor and were observed to be locked. The Wellness Office was observed on the 2nd floor with all resident files. Laundry rooms were observed on the 2nd floor and the 4th floor with working washers and dryers, no chemicals or detergents were observed to be unlocked and accessible to residents. According to the Executive Director, there are 4 laundry rooms in the facility. There are locked housekeeping closets observed on each floor which stores toxins and chemicals; these closets stay locked at all times. LPA toured the 4th floor and observed a COVID positive resident's room. LPA observed COVID signage posted on the resident's door and observed the COVID isolation bin set up outside resident's room.
LPA observed residents dining on the first and third floor and residents were maintaining social distancing. During the visit, staff were observed to be wearing a face covering. LPA observed the dining room and the living room on each floor be clear and free from any tripping hazards. A comfortable temperature of 75 degrees F is maintained and lighting is sufficient for comfort. COVID-19 signage was posted throughout the facility. First aid kit was observed to be completed.
LPA toured the kitchen located on the first floor and observed 2 day perishable and 7 day non-perishable. Infection control practices are observed: COVID signage posted throughout the facility, entry procedures, daily monitoring log for staff, residents and visitors, 30-day PPE supply, face coverings for staff, containment strategies, staff training and policies.
No citations issued during the visit. Report is reviewed with Executive Director and a copy is provided. |