Routine inspection·August 15, 2022

On this day Licensing Program Analysts (LPA) Jaime Vado conducted an unannounced infection control annual inspection visit. LPA met with facility administrator and let him know the purpose of today's visit. Upon entry LPA observed COVID postings upon entry to the facility but not on the entrance door. Entrance is around the back of the facility through a backdoor. A fence facing Shoreview Avenue indicates where the front door is located. LPA toured the physical plant inside and out. There are no accessible bodies of water or fire safety hazards observed. COVID postings and hand washing signs are present inside the facility. Hand sanitizer is observed as available through out the facility. Facility ambient temperature is warm and comfortable, and lighting is sufficient for residents and staff safety. Medications are locked and not accessible. First aid kit is observed as in place. Toilet and bathing facilities are equipped with grab bars and non-slip mats. Liquid soap is available. Paper towels are present for resident use. Water temperature is taken on lower level common bathroom at 115F. Laundry machines and dryers are observed as functioning. Emergency food supply, dry goods, and perishables are observed as in place. Fire extinguishers are charged ready for use. Last stamped as inspected on 3/28/22. Infection control practices are reviewed: entry procedures, staff training and policies, resident monitoring, containment strategies, environmental preparation and cleaning. PPE supply is observed as in place. Medications, toxins are stored appropriately and inaccessible to clients. LPA reviewed training records and they are current. LPA sampled staff first aid cards and training records and they are current. Resident temperature logs and staff logs are current. All staff are vaccinated. Clients are fully vaccinated as well. A disaster and mass casualty plan is present. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been finger print cleared and associated to the facility. Administrator certificate is viewed as current expiring 11/18/2023. Mitigation plan is reviewed with the administrator and is current. Infection control plan is current. Facility P&I for clients are inspected and accurate. LPA is requesting the following updated forms to be sent to the Department by 8/22/22 : • Copy of administrator Certificate • LIC 308 Designation of Administrative Responsibility • LIC 400 Affidavit Regarding Client Cash Resources • LIC 402 Surety Bond • LIC 500 Personnel Report • LIC 610D Emergency Disaster Plan • LIC 9020 Client Roster Report is reviewed with administrator. No deficiencies cited today.