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25 | Licensing Program Analyst (LPA) Walters conducted an unannounced Annual Required – 1 yr. at this facility and met with Co-Administrator, Joannalyn Agbayani (6043858735 exp 3/28/23). LPA conducted a Risk Assessment with staff prior to entry. At the time of the visit, there was one staff providing care and supervision for two clients. The other two client were at day program. Today's inspection will focus on infection control. This facility has submitted a mitigation plan that was approved on 04/12/2021.
LPA arrived at the facility and had their temperature checked and logged into a sign-in sheet. LPA observed that facility had posters on the front door indicating visitor's policy to protect clients in care. There were hand sanitizer and disposable mask available upon entry. Staff were observed to be wearing mask.
At approximately 1:00 PM, LPA toured the facility with staff. The facility was found to be clean and a comfortable temperature 68 degrees. COVID 19 posters were posted throughout the facility. Exits were free from obstructions. Smoke detectors were operational, and the fire extinguisher was last inspected 12/20/2020. The bathroom was stocked with hand washing supplies and paper products. Facility is able to accommodate a single room for each resident that needs to isolate and staff are able to deliver meals to client's bedrooms. Facility has a 30 day supply of medication as physician orders prescription allows. Facility has a 100% vaccination rate of staff and residents. Copies of clients and staff vaccination records are kept in their binders. All staff have had Infection Control and Personal Protective protocols Training given by Local Public Health. The Administrator has scheduled all staff to be fit tested. Staff and residents are being monitored daily and results are documented in facility logs. Residents have access to alternative communications as phone calls and video calls with their families. No deficiencies cited during this inspection |