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There was sufficient space to accommodate indoor activities. Night lights were maintained in hallways and passageways to non-private bathrooms.
In the rear of the facility, LPA observed a shaded patio with furniture designated for outdoor use. There is sufficient room to conduct outdoor activities. The exterior passageways were clean and clear of any obstructions. The LPA observed one (1) self-latching gate for emergency use. There are no bodies of water on the premises at the time of the visit. There is an attached garage that is kept locked and inaccessible to residents in care. LPA observed a laundry area as well as storage for extra supplies for facility use.
In addition, the physical plant is consistent with the submitted facility sketch/floor plan. The facility was set at a comfortable temperature. Fireplace was observed to be properly screened. Staff room next to the front entry was observed to be inaccessible to residents in care and empty at this time.
Records review began at approx. 10:45am, client records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms. Personnel records were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All records were observed to be in order at this time. Last emergency disaster drill was conducted April 30, 2024.
Medications review began at approximately approx 1:30pm, Medications were observed to be properly documented on the centrally stored medications and destruction record at this time. The first aid supplies were complete , including a thermometer and a current version of a first aid manual. First aid was observed to be stored inaccessible in the medication cabinet as well.
Upon entry, the facility has a central entry point for symptom screening, temperature checks, and sanitation station. At this time, the staff will continue to keep up signs that promotes good hand hygiene and symptoms of COVID. The facility has 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. If needed, the facility has the capacity to 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 at this time.
During the visit, LPA interviewed staff. LPA also obtained the following documents - Census, Staff schedule, and updated Limited Liability insurance.
Exit interview conducted and copy of report issued. |