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25 | Licensing Program Analyst (LPA) Dina Alviso, arrived unannounced to conduct an 1 YR Required inspection and met with Licensee/Administrator Ryanne Tapnio. The inspection is focused on the Infection Control procedures and practices of this facility.
Mitigation plan was sent back for revisions; Administrator will resubmit the revised mitigation plan no later than 9/17/21.
There is an approved hospice waiver for two (2) residents. There is an approved plan of dementia care. Fire clearance is approved for six (6) non-ambulatory. Fire extinguishers were tagged and inspected as required- expires 7/21/2022
There were five(5) residents in care at the facility during this inspection. All visitors, essential visitors, and staff are screened upon entry; Temperatures are taken, and screening questions are to be answered before being allowed to remain in the facility, all information is logged. Residents are screened daily, and observed for any changes, all information is logged. Facility was found to be clean, orderly, and at a comfortable temperature with all exits free from obstruction. Toxins are stored in locked cabinets. There was a sufficient supply of hygiene products, cleaners, and paper products for use as needed. Medications were stored locked making them inaccessible to residents and staff that do not handle medications. All exit alarms were on exit doors and working properly. All bathrooms had grab bars, and non-slip mat/flooring for bathing as needed. All postings were up and visible to all as required. Facility has a sufficient supply of personal protective equipment(PPE). Administrator stated that staff wear masks in the facility, and also when providing care services to the residents in and out of the facility. Administrator and two staff on duty were observed to be wearing mask during the LPA's inspection.
No deficiencies found in the areas inspected.
No citations issued.
Exit interview conducted with the Administrator. |