1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | On 7/12/21 at 4 PM, Licensing Program Analyst (LPA) Cheng conducted an unannounced Case Management Health and Safety Check as directed by the department. LPA met with Administrator Susie Jumawan and explained the reason for the visit. Prior to initiating the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; contacted Administrator and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask and gloves.
On 7/12/21 at 4:15 PM, LPA Cheng observed the following temperatures in their area. Facility left hallway entrance measured at 81.5 degrees Fahrenheit, resident room #25 measured 76 degrees Fahrenheit, right hallway entrance measured 75 degrees Fahrenheit, room #6 measured 81.5 degrees Fahrenheit, and living room air vent measured 60 degrees Fahrenheit. Left hallway liquid thermometer measured at 76 degrees Fahrenheit, front hallway liquid thermometer measured at 78 degrees Fahrenheit, and right hallway thermometer measured at 80 degrees Fahrenheit. Living room temperature measured at 72 degrees Fahrenheit. Residents did not express of any issues or concerns.
Exit interview conducted and a copy of report was given. |