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32 | Resident bedrooms observed well-kept. Each bedroom contains a bed for each resident, linens, night stand, and closet. The sliding doors were able to easily open. There is a curtain on the sliding door and windows for privacy. The bedroom doors has locks on the door handle, however, LPA observed staff can easily unlock the door from the outside by twisting the button.
3 resident files were reviewed and observed with an admission agreement, up-to-date appraisal/needs and services plan, IPP, medical assessment, TB result, safeguard of personal properties and valuables, personal rights and consent form. 3 out of 3 residents centrally stored medication and records were reviewed and observed maintained with no issues noted. 3 out of 3 resident's P&I money was inspected and observed maintained with all money accounted for.
3 staff files were reviewed to include fingerprint clearance, 1st Aid certification, health screening, job application, and annual training. LPA observed 2 out of 3 staff member's TB result. 1 out of 3 staff members showed a positive TB test on the health screening form, however, the final result of the further testing was not included in the file. During visit, staff found that the final result of the staff's TB is in a CD, which the Administrator was unable to access. Administrator states to have access to a CD player in a separate location and the Administrator will send the final result of the TB result to LPA Dolores before end of day.
Facility has an infection control plan. PPE supplies to include gloves observed. Facility has an emergency disaster plan. Emergency drills are being conducted quarterly. Each resident has a grab and go backpack filled with extra clothes, hygiene supplies, mini flashlight, non-perishable foods, first aid kit, and an emergency form. LPA observed the non-perishable foods in 1 out of 6 backpacks was expired. Administrator disposed of the non-perishable foods. LPA advised Administrator to check all grab and go backpacks to ensure all the non-perishable foods are not expired. The facility is only equipped with the mini flashlights in each resident's grab and go backpack. Administrator states a plan to purchase another back-up lighting in case of a power outage / emergency. Advisory note provided.
No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with Administrator Anelise Teodoro and a copy of the report was provided. |