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25 | Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to conduct an Annual Required inspection and met with Administrator, Heide Wheeler and Steve Day, Maintenance. The annual inspection is focused on the Infection Control procedures and practices of this facility. There are currently 66 residents.
Upon arrival, LPA observed a screening station at the entrance of facility which had hand sanitizer, a thermometer and a visitor sign-in sheet. Receptionist took LPA's temperature and LPA filled out visitor screening form. LPA conducted a walk-through of the facility and observed COVID-19 postings, although Cough Ettiquette postings will be added. Facility screens residents twice per day during medication passes and staff/visitors are screened for COVID-19 symptoms upon arrival. Staff clean and disinfect the facility daily and as needed (high touched surfaces are disinfected regularly/after use). Administrator confirmed 25% of staff are surveillance testing weekly. Facility staff have completed PPE training and N-95 Fit testing.
Facility has submitted a COVID-19 Mitigation Plan, reviewed 09/20/2021. LPA observed a supply of PPE including gloves, face shields, masks and gowns. All staff wore face masks during this visit.
LPA and Administrator discussed questions regarding regulations and facility files (for staff/resident, dementia care, new PIN requirements for staff vaccinations).
LPA requested updated facility forms to be submitted to Community Care Licensing (CCL) for the facility file. Exit interview conducted with Administrator, whose signature on this document confirms receipt.
No deficiencies cited during this inspection |