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25 | On November 15, 2021, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual inspection. LPA observed COVID-19 signs posted by the entrance. LPA was greeted by the Administrator, Karen Nikolai. LPA explained the purpose of the visit. LPA was screened at the front entrance and the Administrator was able to provide the daily visitor screening log documentation.
LPA toured the facility and grounds. No accessible bodies of water or fire safety hazards observed. Infection control practices are reviewed: entry procedures, staff training and policies, COVID-19 signage throughout the facility, PPE supply and the environmental cleaning supply are adequate. Bathrooms were observed to be equipped with liquid soap, paper towels, and hand washing signs. LPA advised Administrator to cover all trash cans with lids.
LPA observed the residents in the dining area to be social distancing. The bedrooms are either semi-private rooms with beds observed to be 6 feet apart or single private room. Medications, 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. Extra linen was observed to be present.
Administrator was able to provide LPA documentation on visitor screening log, however the Administrator was not able to provide documentation on the staff and resident screening log. LPA advised Administrator to start screening and logging staff and resident temperatures daily, if necessary than more frequently.
LPA requested the following documents to be sent to CCLD by 11/22/2021:
-LIC500 Personnel Report
-LIC309 Administrative Organization
Report was reviewed with Administrator, Karen Nickolai and a copy will be provided. |