Facility Evaluation Report

Licensing Program Analyst (LPA) De Leon conducted an on site 1 year infection control annual visit to the facility above on 08/25/2021 at 11:00 AM. LPA met with Licensee Astrid Meffert and explained the purpose of the visit.

Licensee took LPA on a physical plant tour of the facility. The facility has submitted a mitigation plan to the department. The facility has an entry point at the front door where everyone entering completes sign-in, symptom questionnaire and temperature screening all staff, residents returning from an outing, and visitors wanting to come into the facility. All documentation is kept on a clipboard and filed in binder daily. The entry station has hand sanitizer along with a thermometer. The facility has a large living room area that is used for activities and exercise, all areas are spaced to accommodate as much space as possible for social distancing. Medications are kept in a locked medication cart in the dining area. The kitchen area has a dining area to accommodate some distancing between residents when eating meals. The staff screen residents for symptoms and temperature 1 x's a day and documentation is kept in residents file. Increased monitoring is conducted if any change of conditions are noted, any residents having signs, symptoms or a temperature. Signs are posted in the entry way, in the bathrooms and the bedrooms of residents regarding Covid-19 symptoms to report to staff, coughing and sneezing etiquette, hand hygiene, mask wearing and social distancing, and PPE donning and doffing. All required postings are hung in the entry way and common areas of the facility. Staff makes sure residents have a mask when leaving the facility on outings into the community. All staff wear face coverings in the facility and when on outings with residents.