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25 | Licensing Program Analysts (LPAs), Dina Alviso and Karen Lopez. LPA's are conducting an 1 Year annual inspection, on 6/18/2021 at approximately 9:00am, and met with Administrator Mariele Soriano. The inspection is focused on the Infection Control procedures and practices of this facility.
Currently the facility is having renovation work done; There is a renovation plan in place, and Administrator has a safety plan in place to help ensure residents health and safety during all renovation phases. The facility is ensuring the renovations do not impact resident services.
The facility is a licensed continuing care retirement community, consisting of an assisted living building, which includes a dementia care services area, current total resident count is seventy-seven( 77); There is a skilled nursing building on the property which has a current total count of 25 patients.
LPAs toured the facility with the Administrator Mariele, and John Caron, Maintenance Director. The facility has a large supply of personal protective equipment (PPE). The LPAs observed the front lobby entrance where the screening check in is conducted. There is a log book with screening questions, thermometer, and hand sanitizer. LPAs observed the Administrator and other staff all wearing masks as required. Fire extinguishers were tagged and serviced as required. The fire clearance is approved for one hundred and fifty-eight (158) non-ambulatory, of which 25 may be bedridden. All exits were observed to be clear of obstruction. LPAs observed activities being conducted in the memory care unit, and staff were setting up for the assisted living area's morning activity. Facility has a dementia plan of operation approved by the Department. The facility has an approved hospice waiver for fifteen (15) residents.
Exit interview conducted with Administrator Mariele Soriano. No deficiencies cited today. |