Routine inspection·June 21, 2022

Licensing Program Analyst (LPA) Olson conducted an on-site 1 year infection control annual visit to the facility above on 06/21/2022 at 3:15 PM. LPA met Administrator/Licensee, Susan Marsh and explained the purpose of the visit. LPA took a physical plant tour of the inside and outside of the facility with Licensee. The facility has an entry point at the front door where everyone entering completes a symptoms screening and temperature check. The facility screen residents for symptoms and temperature once a day and keep documentation on file. Increased monitoring will be conducted if any change of condition are noted or if any resident is showing any signs, symptoms or a temperature. Signs are posted on the front door, entry area regarding Covid-19. Staff makes sure resident have a mask when leaving the facility on outings into the community. Facility has areas for visiting inside and outside. The facility also offers virtual and telephone communications to all residents in care. Staff, Residents and visitors are informed of the facilities infection control policies. New residents and staff will be tested and negative results received before working or residing in the facility. Residents and Responsible Parties are notified by facility when required. Residents rights are not being violated. The facility has procedures and plans for screening, isolation, testing, when to call 911 and notifying all responsible parties and agencies when needed. Licensee/Administrator is in charge of infection control and provides training and education to staff, residents and visitors. Continued 809-C If any suspected or confirmed cases of Covid-19 are found in the facility a staff will use PPE supplies that will be located right outside those rooms when required. Facility has a 30 day supply of PPE on hand. Facility has plans for delivering medications and meals to any quarantined or isolated resident room. The facility has proper cleaning and disinfectant policies. Facility Licensee/Administrator has a plan in place for when and whom to notify in an outbreak or other emergencies. Administrator will keep a line list of all vaccinated and tested staff/residents in care with dates/results. Facility has conducted training on infection prevention, symptoms, transmission and PPE use. Facility has non-punitive sick leave polices for staff. Sick staff are requested to stay home and not report to work if ill. The facility ensures proper cleaning is done on frequently touched surfaces and between any individuals sharing of space or items. Sinks were well stocked with soap, paper towels and hand washing signs. Facility does realize guidance changes and the most up to date guidance from CCL-PINS, CDC, CDPH, and local health departments should be followed to remain in compliance. The most stringent orders should be followed by any of these agencies. No deficiencies observed during the visit, all infection control protocols are implemented and being followed. Exit interview conducted and copy of report emailed to Administrator/Licensee.