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25 | Licensing Program Analysts (LPA), Katrina Walters arrived unannounced to conduct an Annual inspection at approximately 10:30 AM, and met with Licensee, Ceclia Morales. LPA conducted a risk assessment prior to entering the facility. The inspection is focused on the Infection Control procedures and practices of this facility. There were one staff providing care and supervision for two clients.
Upon entry, LPA was not screened for COVID-19 symptoms, Alcohol based hand wash and disposable mask was available for visitors and all staff were wearing mask. LPA conducted a walk through of facility with Administrator and made the following observations: Facility had required postings visible for visitors. Administrator understands that additional posters will need to be posted in the bathroom to promote hand washing and social distancing. Bathrooms were stocked with antibacterial hand soap and paper towel.
Staff are trained on Personal Protective Equipment (PPE), and infection control. Facility has 30+ day supply of PPE, and incontinence supplies. Facility is cleaned daily and high touch surfaces are cleaned each shift and after every meal. Facility was a comfortable temperature and exits were free from obstructions. All auditory alarms on exit doors, Facility smoke detectors and carbon monoxide detectors were found to be functioning properly at the time of the visit. There was a sufficient supply for both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator was properly stored as per regulations. This facility has not submitted a mitigation plan as of 11/05/2021. Administrator will submit mitigation plan by 11/08/2021.
No deficiencies observed or cited during today's Required 1- Year inspection. |