Post-licensing visit·March 24, 2022

Licensing Program Analyst (LPA) Walters arrived unannounced for the purpose of conducting a Post-Licensing inspection, and met with Administrator, James Sirokman. The inspection is focused on the Infection Control procedures and practices of this facility. The facility submitted a mitigation plan on 8/26/22, which was approved by this department. LPA conducted a risk assessment with Administrator. LPA toured the facility and grounds, and made the following observations: At the entrance of the facility there was a sign-in sheet for visitors, with screening questions and a thermometer. Hand sanitizer and disposable mask were made available. There's a viral disinfectant system at the threshold that disinfects visitor's clothing. There were posters at the entrance and throughout the facility to promote contact precautions. Bathrooms were supplied with hand washing supplies, paper products and signs to demonstrate proper hand washing techniques. Facility has at least a 30 day supply of Personal Protective Equipment (PPE) and Incontinence Products. All staff have received infection control training through Local Public Health. Resident's who are in shared bedroom have beds kept 6 feet apart. In the event that the residents need to isolate, facility has an additional room and is able to isolate individuals who test positive together. High traffic and surface areas are disinfected after every shift and after usage. Staff monitor residents routinely for symptoms. Vitals are recorded in facility database. Staff and Resident's vaccine cards are kept on file. Facility was clean and a comfortable temperature. All exits were free from obstruction. The smoke alarm, sprinkler and carbon monoxide detectors are hardwired and were tested by the Vacaville Fire Department on 5/10/2021. Administrator and LPA discussed having all staff fit tested. Administrator will schedule an appointment with public health. No deficiencies cited during todays visit.