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25 | On 10/18/22 at 1:30 pm, Licensing Program Analyst (LPA) Chavez conducted an unannounced on-site annual infection control visit to the facility above. LPA met with CNA staff and explained the purpose of the visit. At 2:10 pm, Michael Dimaguila, Administrator/Director, met with LPA, and LPA explained the purpose of the visit.
LPA toured the facility with staff and observed the following: The facility has infection control signage at the front door and signage throughout the facility on handwashing and use of masks. Licensee will post cough etiquette signage, take photo and send to LPA by end of day 10/19/22. Upon entry to the facility, LPA was not screened. There is an electronic kiosk for visitor sign-in at the reception area, however, there was no signage directing LPA to kiosk nor staff to assist and take temperature. Licensee will ensure that staff assisting visitors at the lobby are trained to screen visitors upon entry and send the training sign-in sheet to CCL by 10/19/22. Staff are wearing masks. The facility has soap dispensers in resident bathrooms and common area bathrooms, however, the bathrooms do not have paper towels and are equipped with hand dryers. Administrator states that some residents hoard paper towels. LPA directed administrator to change out the hand dryers or find an alternate solution such as staff providing residents with a small quantity at each use. Licensee will send photos of paper towel dispensers stocked with paper towels or procedure for dispensing along with a photo of paper towel supplies to CCL by 10/19/22. Fire extinguishers (4) are located in the kitchen and each hallway. The extinguishers are fully charged and were inspected on 9/11/22. At 2:00 pm, LPA observed that the external window for resident room #20 without a screen. Licensee will ensure a screen is placed in the window, take a photo, and send to CCL by 10/19/22. At 2:03 pm, LPA observed an external closet with a water heater and heating/cooling unit. The opening has space for two doors, however, there was only one door on the opening, leaving the closet contents exposed. Additionally, the door/cover for the front of the heating/cooling unit was removed and laying on the ground. Licensee will secure the area and send a photo to CCL by 10/25/22.
At 2:20 pm, LPA conducted the Infection Control mitigation module with the administrator. No deficiencies cited. Exit interview conducted and report emailed to the licensee and administrator. |