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25 | Licensing Program Analyst (LPA) Katrina Walters arrived unannounced to conduct a Required 1-Year Inspection and was greeted by staff. The Administrator and Licensee arrived later Eileen Saddi. The inspection is focused on the Infection Control procedures and practices of this facility.
At primary entrance LPA observed temperature logs and visitor sign-in sheet. Facility has at least a 30 day supply of N-95 mask, disposable gowns, COVID test and hand sanitizer were available for visitors. LPA conducted walk through of the facility with staff and observed COVID postings throughout. Mitigation plan and Infection Control Plan was submitted and available for review. LPA toured the facility with staff and Administrator and made the following observations: LPA observed that both the bathroom and kitchen were sanitary and in good repair. There was hand soap and paper towels for clients use. All exits were unobstructed. Fire extinguisher was charged and serviced 01/10/2022. Smoke and carbon monoxide detector appeared to be operational. Hot Water temperature measured at 120.3 which was within regulation at 105-120 F.
LPA requested the following updated forms to be submitted to Community Care Licensing by 11/21/2022:
· LIC 308 Designation of Facility Responsibility (1 person per form)
· LIC 500 Personnel Report
· LIC 610E Emergency Disaster Plan
· LIC 9020 Register of Facility Residents/clients
· Copy of current Administrator's Certificate
Exit interview conducted with Administrator, whose signature on this document confirms receipt.
**No deficiencies cited during this inspection |