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25 | Licensing Program Analyst (LPA), Alviso, is conducting a Required - 1 Year visit, on 6/24/23, and met with Catherine Brenegan, The caregiver, Elizabeth (Ana), had let the LPA into the facility, and contacted the Administrator to notify them of the LPA's arrival. LPA observed another caregiver, Imelda, working on shift. The Administrator arrived soon after being contacted by the caregiver.
LPA reviewed infection control regulations with the Administrator during this inspection. LPA provided an email to the Administrator with information on reporting positive covid cases as required. The facility has been reporting to licensing agency. The facility does have a required infection control plan.
Facility does have a required emergency disaster plan. The facility had an emergency fire drill on 6/13/24; Per facility's emergency records review, emergency drill's are held regularly/quarterly as required.
Facility has an approved fire clearance for four (4) ambulatory, and two (2) non-ambulatory clients; Room #4 is cleared for non-ambulatory use. There are currently five (5) residents in care.
LPA reviewed five (5) client files. All files were found to contain necessary documentation.
LPA reviewed five (5) staff files. All staff have required criminal record clearance. All staff have first aid and cpr certification as required. All staff have required training.
The facility had a sufficient supply of food. Sufficient furnishings for client use. Sufficient supply of cleaners/disinfectants, paper products, hygiene products, and linens. Sufficient supply of personal protective equipment (PPE). Facility was at a comfortable temperature for clients in care, with use of portable air conditioners, and fans in the facility. Medications were locked and inaccessible to clients in care. Cleaners/disinfectants are locked and inaccessible to clients in care. Sufficient lighting in hallways, bathrooms, client rooms, and common areas for client use as needed.
There are no deficiencies cited today.
Exit interview was conducted with Administrator Catherine Brenegan. |