COVID-19 check·April 9, 2022

Licensing Program Analyst Ryker Heberle (LPA) and Licensing Program Manager Sarah Yip (LPM) conducted a tour of the facility in response to a recent COVID-19 outbreak among residents. LPA and LPM met with the facility's Business Office Manager Christine Montelaro (BOM). LPA and LPM toured the facility with BOD including facility entrance, dining hall, kitchen, 4 public restrooms, PPE storage closet, hallways to resident rooms, screening room, bingo room, courtyard, and outdoor visitation areas. LPA and LPM observed numerous factors indicating that the facility was not currently following mitigation plan, including residents eating in dining hall without social distancing, PPE carts outside of isolation rooms lacking necessary PPE items, no social distancing, masking, or other precautionary signage, and no check in/screening table in the entrance area, no separate break area for staff members assisting COVID positive residents, and staff designated as assisting positive residents also assisting negative residents. LPA and LPM made the following recommendations for the facility to implement effective immediately: 1) Post COVID precaution signs on the door of designated central entry point 2) Ensure that precautionary signs are posted in all common areas/front doors 3) Reestablish sign-in table at the front area for entry screening 4) Handwashing signs to be posted above all sinks in bathrooms, kitchens, break rooms, etc. 5) Restock paper towels in all bathrooms 6) Use one of the currently closed common rooms as a break room for staff members that work with COVID positive residents 7) Close dining hall for the duration of the outbreak Continued on 809-C LPA and LPM made the following recommendations for the facility to implement: 8) Make all activities outdoor for the duration of the outbreak 9) Post signage on doors of isolation rooms indicating red zone status 10) Post signage on doors of isolation rooms indicating the correct order of donning and doffing PPE 11) Make sure PPE carts are fully stocked at all times 12) Place trash cans inside isolation rooms as well outside isolation rooms for discarding of used PPE 13) Ensure that all laundry of positive residents is kept separate from negative resident laundry 14) Ensure positive resident laundry is sealed during transit to laundry room 15) Update line list to indicate hospice status of all COVID positive residents 16) Update infection control plan / mitigation plan and determine who is the infection control lead No deficiencies cited during this visit. LPA provided BOD with all necessary signage to post throughout the facility. This report was reviewed with facility Business Office Director Christine Montelaro and a copy of the report was provided.