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In the rear of the facility, LPA observed a shaded patio with furniture designated for outdoor use. There are two (2) sheds used to store extra furniture, medical equipment and extra facility supplies at this time. 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.
In addition, the physical plant is consistent with the submitted facility sketch/floor plan. The facility had emergency lighting, which included flashlights, or other battery powered lighting, and batteries. The facility was set at a comfortable temperature. Fire was observed to be properly screened. The office area is located next to the living room. LPA observed medication, residents and staff records to be kept inaccessible in a large cabinet in the office area. Staff room next to the office area was observed to be inaccessible to residents in care. LPA observed room to be empty at this time.
Records review began at approx 10:30am, 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 04/27/2024.
Medications review began at approximately approx. 1pm. 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. |