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25 | Licensing Program Analyst (LPA) Cuadra conducted a case management tele-visit with Administrator Josh Horn and obtained email address (mirabellodge@yahoo.com) to send LIC809 and requested signed copy to be emailed back to LPA before 9/4/20. The purpose of today’s visit was to ensure that the residents were able to safely return to the home after being evacuated as a result of a wildfire in the area. Facility was not required to evacuate; but, Licensee decided to do so due to the health and safety risk that the fire presented to residents in the home. Residents were evacuated on 8/19/2020 and were given clearance to return on 8/26/2020 by Forestville Fire Department. Based on interview with Administrator there were no incidents directly related to the evacuation or repopulation of the residents and there is no known damage to the home or the property.
LPA/Administrator toured the home virtually. Per Administrator, the facility was cleaned by facility staff prior to repopulation and all resident bedding replaced. Facility has at least two days of perishable and one week of nonperishable foods.
The facility appears to be clean and free of hazards, no visual signs of fire damage. Water temperature tested at 105 and 111 degrees F. Power and all other utilities including cable and phone were observed to be working and smoke detectors & carbon monoxide detectors were operating at the time of the visit. Administrator ensured best practices for PPE usage, COVID prevention and COVID surveillance testing for all staff and residents during their relocation.
Administrator agreed to revise and submit updates to the disaster/evacuation plan. LPA confirmed that Administrator had received a copy of PIN 20-28-ASC (Emergency Resident Transfers During the Coronavirus Disease (COVID-19) Pandemic) for reference.
No deficiencies cited during this inspection. |