| Licensing Program Analyst (LPA) Ashley Smith arrived at the facility unannounced to conduct a required annual visit at 11:30 a.m. This annual had a specific emphasis on infection control practices and procedures. The LPA met with Administrator Marek Niklas and explained the reason for the visit.
The LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.
KITCHEN: Knives are stored inaccessible for resident usage. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. BEDROOMS: Resident bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. RESTROOMS: Resident restrooms are clean and sanitary and in operating condition with grab bars and non-skid surfaces. COMMON SPACES: In the common areas, walls and flooring were checked for cleanliness and good condition. At the time of the visit, living room and dining room furniture was observed to be in good condition. The medications are locked in a cabinet near the kitchen. The LPA observed the department mandated signs posted throughout the facility.
The backyard has a covered outdoor area equipped with furniture for resident use. The side gate door is self-latching. Additional cleaning supplies and Personal Protection Equipment (PPE) are in the garage.
INFECTION CONTROL: Upon entry, the facility has a central entry point for symptom screening, temperature checks, and sanitation station. The LPAs observed an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. The facility can designate a single isolation room if the facility has a confirmed case of COVID-19. The facility’s policies and procedures as it pertains to infection control are adequate.
No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.
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