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25 | Licensing Program Analyst (LPA) Jill Nakagawa conducted an unannounced 1 Year Required Inspection and met with Administrator, Paulin Pantig . The inspection is focused on the Infection Control procedures and practices of this facility.
All visitors, essential visitors, and staff are screened upon entry. Temperatures are taken, and screening questions are to be answered before being allowed to remain in the facility, all information is logged. Residents are screened and observed for any changes, all information is logged. Facility was found to be clean, orderly, and at a comfortable temperature of 74 F with all exits free from obstruction. Residents were still enjoying the decorations of the holidays, providing a homey atmosphere. Toxins are stored in locked cabinets. There was a sufficient supply of hygiene products, cleaners, and paper products for use as needed. Medications were stored locked making them inaccessible to residents and staff that do not handle medications. All exit alarms were on exit doors and working properly. All bathrooms had grab bars, and non-slip mat/flooring for bathing as needed. All postings were up and visible to all as required. Facility has a sufficient supply of personal protective equipment (PPE). Administrator and all caregivers had a mask on during the LPA's inspection. There is an approved hospice waiver for six (6) residents. Mitigation plan was approved by the Department on 05/10/21. INfection Control Plan was submitted. Fire clearance is approved for six (6) non-ambulatory. Fire extinguisher was charged and dated 10/04/22.
There were two (2) caregivers on duty and five (5) residents in care at the facility during this inspection.
LPA requested updated LIC 500 - Personnel Report and proof of Liability Insurance.
No deficiencies were found during today's inspection.
No citations issued.
Exit interview conducted with the Administrator. |