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25 | Licensing Program Analyst (LPA) Erik Gonzalez Campos arrived unannounced to conduct a Post-Licensing Inspection and met with Executive Director, Morgan Holien and Health/Wellness Director Katelyn Ledesma. LPA was greeted by staff and asked to screen for COVID. Proof of vaccination was requested. Facility is 3 stories and contains both assisted living and independent living. Facility does not currently admit residents with a diagnosis of dementia.
LPA toured building and grounds which were clean and in good repair. Staff were observed wearing masks. All staff are vaccinated and boosted if eligible. All residents are vaccinated and boosted if eligible. Facility does not currently conduct surveillance testing. LPA and director discussed infection control plan which facility plans to submit later this month.
Medications are centrally stored and locked making them inaccessible to residents. Toxins are secured and inaccessible to residents. Fire extinguishers were last inspected in December of 2021. LPA observed fire alarm/sprinkler system throughout the facility. Facility has the necessary personal protective equipment (PPE) to support a resident in isolation. All bedrooms are private therefore residents could isolate in their own bedrooms if necessary. Resident bathrooms contain necessary grab bars and non-slip floors/mats.
LPA and director discussed Guardian and association process.
No deficiencies observed during today's inspection.
Exit interview conducted with Health/Wellness Director . LPA was unable to print, report was emailed to Executive Director directly during the visit before leaving the facility.
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