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25 | Licensing Program Analyst (LPA) Cuadra conducted an unannounced Annual Required – 1 yr. Infection Control inspection and met with Licensee, Alain Serkissian. LPA conducted a Risk Assessment with staff.
LPA arrived at the facility and had their temperature checked and logged into a sign-in sheet. LPA observed that facility has posters on the front door indicating visitors about updated visitor's policy to protect residents in care. Once inside the facility, LPA observed that staff were wearing masks during this visit. LPA/Licensee conducted a walk-through of the facility and observed Covid-19 posters that included hand washing signs in restrooms. Facility was a comfortable temperature and exits were free from obstructions. Automatic hand sanitizer dispensers are located through the facility. Facility has multiple bathrooms that are kept stocked with hand hygiene products. Commonly touched surfaces are disinfected at least three times a day. Facility has designated an outdoor area for visitation. Facility has a designated isolation apartment on the facility premises for residents that need to isolate and is able to serve meals and deliver medications. Facility staff have been trained on PPE protocols and have been N-95 fit tested. Staff and residents are being monitored daily. However, facility does not document symptoms unless that they are experiencing any symptoms. LPA/Licensee discussed the importance of daily screening and documentation of symptoms. Facility maintains a 30 day supply of medication. Facility has a 100% vaccination rate of staff and residents. Residents do not typically wear a mask while in the facility, but they do wear masks when in the community. Facility has more than a 30 day supply of Personal Protective Equipment (PPE) including masks, face shields, gowns and hand sanitizer. PPE supplies are located in an accessible place for all staff. Facility has submitted their Covid Mitigation Plan and approved on 6/8/21. Residents have access to alternative communications as phone calls and video calls with their families.
Licensee agreed to submit the following documents by 11/19/21: Designation of Responsibility (LIC308), Liability Insurance and Personnel Report (LIC500).
No deficiencies observed during today's visit.
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