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25 | Licensing Program Analysts (LPA), Angela Elliott and Erik Gonzalez Campos arrived unannounced to conduct an Annual inspection at approximately 9:00 AM, and met with licensee/administrator Eva Karikari. The inspection is focused on the Infection Control procedures and practices of this facility.
Upon entry LPAs were screened for COVID symptoms and asked to sign in by licensee. At primary entrance LPAs observed temperature logs and visitor sign-in sheet. LPAs conducted walk through of the facility with licensee and observed COVID postings throughout. Mitigation plan has been submitted and approved by Community Care Licensing (CCL).
Facility was a comfortable temperature and exits were free from obstructions. Hand sanitizer is kept throughout the facility. Per licensee, updated infection control guidelines and PINs are communicated to residents and responsible parties through email and an on-site information resource binder. Staff have completed Personal Protective Equipment (PPE) and infection control training through Kaiser, licensee was able to provide certificate of completion. Staff have been N95 fit tested. High touch surface areas are disinfected daily. Due to current facility census, residents could isolate in their own rooms if they became ill. LPAs confirmed licensee has necessary PPE equipment and supplies to support a resident in isolation.
Residents' emergency contact information has been updated and licensee confirmed staff are familiar with 911 procedures and protocols. Toxins are secured and inaccessible in locked hallway closet and in locked garage cabinets. A 30 day supply of medications are stored in a locked cabinet, making them inaccessible to residents. The facility has a sufficient supply of Personal Protective Equipment (PPE) and hygiene supplies located in administrators office. LPAs provided additional gowns, gloves, surgical masks, and hand sanitizer. All exit alarms on exit doors were working properly. Facility is conducting COVID-19 surveillance testing per CCL guidelines until a 70 percent vaccination rate for staff is reached. LPAs provided guidance to ensure a copy of mitigation plan is available for review on request at the facility.
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