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25 | Licensing Program Analyst (LPA) Katrina Walters conducted an unannounced Annual Required – 1 yr. Infection Control inspection to this facility and was greeted by Administrator, Harjit Aujla. LPA conducted a Risk Assessment with Administrator prior to entry. At the time of inspection there were 3 clients and 2 staff providing care and supervision. This facility has submitted a mitigation plan which was approved by Community Care Licensing on 8/18/21.
Prior to entering, LPA observed that COVID-19 signs and the visitors policy were posted on the front door. Upon entry, LPA was screened for COVID-19 symptoms and signed in on a facility sign-in sheet. Additional postings were available at the entrance of the facility to promote social distancing and the spread of COVID-19. Hand sanitizer and additional disposable mask were available for visitors. At approximately 12:20 PM LPA and Administrator toured the facility. The following observations were made: The facility was clean and a comfortable temperature. The amount of fresh and non-perishable foods were within regulation. Toxins are secure and not accessible to clients. Facility has at least a 30 day supply of medication, Personal Protective Equipment (PPE) and incontinence products. Medication was centrally stored and secured. Staff disinfect common areas after usage. During mealtime, clients are socially distanced. Bathrooms used by clients were stocked with hand washing supplies, paper towel, slip mats and grab bars. In review of client records LPA learned: procedures have been developed to screen, isolate and quarantine clients and staff. Staff document client's temperatures in their appropriate binders. Facility has conducted staff training on the transmission, prevention, symptoms and how to don and doff PPE, training records are stored in a separate binder. All client and staff vaccination records are stored.
No citations cited during today's visit. This is an amended report |