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25 | On 0712/22 at 12:20 PM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct an annual Infection Control Inspection. LPA was greeted by one staff upon entry and explained the purpose of the visit. The Administrator, Araceli Emerick (ADM) was telephoned by the staff member and arrived about 5 minutes later.
Facility has a COVID-19 mitigation plan on file. LPA obtained a resident roster, staff roster and reviewed staff files. LPA observed a screening station at the entry that contained a thermometer, hand sanitizer, masks, face shields, gowns, gloves, COVID-19 signage, and a visitor sign-in log. LPA toured the facility including, but not limited to common areas, bathroom, kitchen, garage, and backyard. LPA observed mask, cough etiquette, social distancing and hand washing signs posted throughout. ADM to post 20 seconds to hand washing sign in the kitchen and create an isolation cart for infection control. There was a sufficient supply of 2-day perishables and 7-day supply of non-perishable foods. All hand washing stations were equipped with soap, paper towels and covered garbage cans. There is a surplus of PPE stored centrally located inside the facility that is accessible to all care staff. Hot water temperature in the shared residents' bathroom was measured at 110.2 degrees Fahrenheit (F) and the facility's temperature was 69 degrees (F). Fire extinguisher was observed full and last inspected on 01/11/2022. Smoke/Carbon Monoxide detectors were observed operational and first aid kit complete.
The following forms are to be updated and submitted to CCLD:
-LIC500 Personnel Report (Reviewed)
-LIC308 Designation of Administrative Responsibility (Reviewed)
-LIC610E Emergency Disaster Plan (Reviewed)
-An updated copy of Administrator Certificate(s) (Reviewed)
Exit interview conducted and a copy of this report provided to Araceli Emerick, Administrator. |