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25 | At approximately 1:50PM, Licensing Program Analysts (LPAs) Willis and Felias arrived unannounced to conduct an Annual required Inspection and met with Administrator, Alyssa McDonald. The inspection is focused on the Infection Control procedures and practices of this facility.
Upon arrival, LPAs checked their temperatures and completed a questionnaire with standard Covid screening questions. LPAs conducted a walk-through of the facility and observed the following: Facility had COVID-19 posters throughout the facility including at the entry way. Facility had hand-washing signs located at the kitchen sink but not in the bathroom. LPAs discussed with Administrator to add hand-washing signs. Based on review of visitor log, staff are screened at the beginning of each shift. Facility was a comfortable temperature and exits were free from obstructions. Hand sanitizer was available in common areas. LPAs observed staff wearing masks during this visit. Commonly touched surfaces are disinfected three times per day during each shift.
LPAs and Administrator discussed resident activities and visitation.
Upon Employee Roster review, LPAs discovered a staff who was currently going through the Fingerprint Exemption Process. Per conversation with Administrator, facility was provided a letter from CCL that allows the employee to work in facility while they are going through the exemption process. Staff initiated the process while working at another home licensed by the Licensee and the letter is in the other home. Administrator agreed to send letter to LPAs no later than Friday, February 25, 2022.
Facility has at least a 30 day supply of Personal Protective Equipment (PPE) including surgical masks, gloves, gowns, and hand sanitizer.
Fire Extinguisher was last serviced November 2021. Smoke Detector and carbon monoxide detector were tested and operational.
No Deficiencies cited during this inspection.
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