Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra conducted an unannounced Annual Required – 1 yr. Infection Control inspection to this facility and met with Licensees, Cathy and Dave Olds. LPA conducted a Risk Assessment with Licensee. LPA/Licensee reviewed PIN 22-05, PIN 22-06, PIN 22-07 and PIN 22-09.

LPA arrived at the facility and was screened. LPA observed that facility has posters indicating visitors about updated visitor's policy to protect residents in care. Once inside the facility, LPA observed that staff were wearing masks during this visit. LPA/Licensee conducted a walk-through of the facility and observed Covid-19 posters that included hand washing signs. Facility was a comfortable temperature and exits were free from obstructions.Hand sanitizer were observed in the common area of the facility. Facility bathroom are kept stocked with hand hygiene products. Commonly touched surfaces are disinfected at least once a day. Facility is able to accommodate a single room for each resident that needs to isolate and is able to serve meals and deliver medications. Facility staff have been trained on PPE protocols and N-95 fit tested. Staff and residents are being monitored daily. However, results are not documented. Facility maintains a 30 day supply of medication. Facility has a 100% vaccination rate and received boosters for staff and clients. Clients do not typically wear a mask while in the facility, but they do wear masks when in the community. Clients do attend to virtual classes through zoom everyday and facility provides activities for clients at home. Clients go to parent's homes for visitation and facility performs antigen tests to visitors as well as screening, documenting for symptoms and tracking purposes. Facility has submitted their Covid Mitigation Plan and approved on 4/20/21. Facility has more than a 30 day supply of Personal Protective Equipment (PPE) including masks, face shields and hand sanitizer. PPE supplies are located in an accessible place for staff.

Licensee provided updates of the following: Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500), affidavit regarding client/resident cash resources (LIC400), surety bond and Emergency Disaster Plan (LIC610E).

No deficiencies cited during this inspection.