1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | On January 11, 2022, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual infection control inspection. LPA observed COVID-19 signs posted by the front entrance. LPA was greeted by the Executive Director (ED), Corey Miller. LPA Charitra explained the purpose of the visit. Temperature was taken and COVID screening questions were asked. ED was able to provide LPA with screening log documentation for staff and visitors.
LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. Infection control practices are reviewed: entry procedures, staff training and policies, resident/ visitors/ and staff daily monitoring records, and 30-day PPE supply. LPA observed the elevators and advised to post signs to indicate how many people can go in the elevator per ride. LPA observed the dining hall to have tables 6ft apart to maintain social distancing.
LPA observed bathrooms to be equipped with paper-towels, liquid soap, hand-washing signage, and a covered trash bin. LPA toured the kitchen and observed sufficient amount of perishable and non-perishable foods.
Medications carts were observed to be locked. LPA observed the well-ness room located on second floor where resident files are stored. Toxins and sharps are stored appropriately and inaccessible to residents, and a comfortable temperature is maintained. Lighting is sufficient for comfort. First aid kit was observed to be completed.
LPA requests the following documents to be submitted to CCLD by January 18, 2022:
- LIC309 Administrative Organization
- LIC308 Designation of Administrative Responsibility
- LIC500 Personnel Report
- Administrator Certificate
- LIC610E Emergency Disaster Plan
|