Karen's Seniors Care Home

Allegation investigated: Resident sustained multiple injuries while in care

Licensing Program Analyst (LPA) Kelly Dulek initiated a subsequent complaint visit with the purpose of delivering findings for the allegation listed above. LPA arrived at 11:18AM and initially met with facility staff Timoteo Delacruz. Facility Designee Clarita Zinkofsky was contacted and arrived at 12:25PM. Entrance interview conducted. During today’s visit, LPA, along with facility staff, toured the facility at 11:24AM, LPA conducted an interview with facility designee at 12:25PM, and interviewed staff between 11:28AM and 11:33AM. During an initial complaint inspection conducted virtually on 03/04/2021, LPA Dulek conducted a telephone interview with facility designee Clarita Zinkofsky at 11:55AM and the LPA requested copies of Resident #1 (R1)’s pertinent documents. Throughout the course of the investigation, LPA reviewed the pertinent documents and conducted interviews with relevant parties. The following was then determined: Report Continued on LIC 9099-C Substantiated The complaint alleges that R1 sustained multiple injuries while in care. Record review revealed that R1 is ambulatory and has wandering behavior. Needs and service appraisal indicates R1 is at risk for falls related to unsteady gait. Interviews revealed that R1 had been residing at the facility for some time at the time of the complaint allegation, so the staff were familiar with R1’s care needs and behaviors at that time. Facility staff were aware of R1’s behavior and falls and had met with R1’s family members and physician approximately 7 months prior to discuss changing R1’s medication and additional care needs. At that time, licensee representative had issued a verbal eviction notice to R1’s Responsible Party (RP.) However, written notice was not issued to the RP. Following the meeting, facility staff provided additional supervision to R1 in order to mitigate unwanted behaviors and decrease R1’s fall risk, including additional visits by the facility designee. Interviews revealed that the additional supervision provided was successful, however toward the end of December 2020, staffing plans changed due to COVID and the facility designee was no longer conducting additional visits. Interview revealed that R1 fell around 4:30AM on 02/16/2021. Staff informed facility designee via telephone and facility designee visited the facility at 2:00PM and observed bruising on R1’s arm. This incident was not reported to CCL, nor was documentation of notification to R1’s physician provided. Interview also revealed that R1’s responsible party was not informed of this fall. Additionally, the facility did not conduct a needs and service appraisal identifying R1’s changing needs nor was additional supervision provided to R1 although previous additional supervision was successful in limiting R1’s behaviors and fall incidences. Then, on 02/20/2021 at 04:00AM, R1 fell a second time, resulting in bruising on R1’s forehead. Facility designee was informed via telephone and arrived at the facility around 01:00 or 02:00PM to observe the resident’s bruising. At that time, the facility staff called 9-1-1 and R1 was taken to the hospital for further evaluation. Based on interview and record review, there is sufficient evidence to support the allegation, therefore, the allegation that “resident sustained multiple injuries while in care” is deemed SUBSTANTIATED at this time. The following deficiency was observed (see LIC 9099-D) and cited from the California Code of Regulations, Title 22 and/or California Health and Safety Code. Civil penalty issued in the amount of $1000. Facility designee was informed that failure to correct the deficiency may result in additional civil penalties. Exit interview conducted. A copy of the report and appeal rights were provided.the state’s words, verbatim · CDSS document, May 9, 2023 · control 29-AS-20210222162936

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87464(f)(1) · Plan of correction due date: May 10, 2023

87464 Basic Services. (f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code Section 1569.2(c). This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the above cited section as proper supervision was not provided to R1, resulting in falls and R1 sustaining multiple bruises, which posed an immediate health and safety risk to residents in care. Civil penalty issued.the state’s words, verbatim · CDSS document, May 9, 2023

Plan of correction: Facility designee will provide LPA with a copy of the documents previously provided to LPA Balisi on 10/10/2022 regarding the facility's care and supervision plan. Designee will provide to LPA by POC due date.

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Kelly Dulek initiated a Case Management – Deficiencies visit to address deficiencies observed during a complaint investigation. LPA met with Facility Designee Clarita Zinkofsky. Entrance interview conducted. During a previous investigation at the facility, interviews revealed that multiple fall incidents occurred involving Resident #1 (R1.) Interview revealed that R1 fell around September or October 2020 resulting in laceration to R1’s eye and additional medical attention, on 02/16/2021 resulting in bruising and again on 02/20/2021 resulting in bruising and additional medical attention. LPA reviewed documents received in the Woodland Hills Regional Office and confirmed that no incidents were reported involving R1 in September or October 2020 and no incident report was received for the 02/16/2021 incident either. It was also revealed that although R1 fell at 04:00AM on 02/20/2021, facility designee did not arrive at the facility to assess R1 until around 01:00PM and facility staff called 9-1-1 around 02:00PM. R1 was then transported to the hospital to receive further medical attention due to the fall. Additionally, interviews revealed that both Administrator and facility designee refused to readmit R1 to the facility following R1’s hospitalization. Facility designee indicated to LPA that the family refused to relocate R1 when previously discussed, and that sending R1 to the hospital was the “chance to get [R1] out of here.” The following deficiencies were observed (see LIC 809-D) and cited from the California Code of Regulations, Title 22 and/or California Health and Safety Code. Civil penalty issued in the amount of $250. Facility Designee was informed that failure to correct the deficiencies may result in additional civil penalties. Exit interview conducted. A copy of the report and appeal rights were provided.the state’s words, verbatim · CDSS document, May 9, 2023

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(1) · Plan of correction due date: May 10, 2023

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall...(1) The licensee shall arrange, or assist in arranging, for medical...conditions and needs of residents. This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above as facility staff did not take action to have R1 transported to a medical facility for 10 hours after R1 fell and sustained a head injury, which posed an immediate health and safety risk to residents in care. Civil penalty issued.the state’s words, verbatim · CDSS document, May 9, 2023

Plan of correction: Facility designee will provide LPA with the document all facility staff are trained on and have signed off on with the new facility procedure for calling 9-1-1 immediately by POC due date.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87468.2(a)(20) · Plan of correction due date: May 17, 2023

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities(a)(20) To be protected from involuntary transfers, discharges, and evictions...shall comply with all eviction and relocation protections for residents...not by the resident. This requirement is not met as evidenced by: Based on interview, the licensee did not comply with the above cited section, as R1 was sent to the hospital and facility designee refused to readmit R1, which posed an immediate personal rights risk to residents in care.the state’s words, verbatim · CDSS document, May 9, 2023

Plan of correction: Facility designee will provide to LPA by the POC due date a plan for eviction notification to implement for all future evictions.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1)(D) · Plan of correction due date: May 23, 2023

87211 Reporting Requirements (a)(1)(D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the above cited section as an incident involving R1 that occurred at the facility around September 2020 and an incident on 02/16/2021 were not reported to CCLD, which posed a potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, May 9, 2023

Plan of correction: Facility designee agreed to provide to LPA a copy of the facility's current plan for falls and unusual incident procedure by POC due date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Brian Balisi arrived at the facility unannounced to conduct a required annual. This annual had a specific emphasis on infection control practices and procedures. Upon arrival LPA met with Administrator Brandon Zinkofsky and explained the reason for the visit. At approximately 12:30pm, LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The carbon monoxide and smoke alarms were tested and all functioned properly. The fire extinguisher was fully charged and last serviced in Jan 16, 2023. Kitchen: LPA observed Kitchen to be inaccessible to residents at this time. The kitchen appeared to be clean and the appliances and fixtures functional. Properly labeled medications and sharp objects were observed to be locked in a cabinet to the right of the fridge. LPA observed a sufficient amount of perishable food stored in the fridge and non-perishable food properly stored in a pantry inside of the laundry room on the exterior of the kitchen. Laundry area located between living room and kitchen. LPA observed this room to be inaccessible to residents at this time. Cleaning supplies and detergents were observed locked in a cabinet below the water tank. Bedrooms: There were (7) bedrooms total with (1) bedroom designated for staff use, which was located next to the kitchen. LPA observed staff room to be empty at this time. All bedrooms for clients use were properly furnished and had appropriate bedding and linens. At approximately 12:40pm, LPA observed (4) residents sleeping in their bedrooms. Bathrooms: There were (3) bathrooms designated for clients' use. All bathrooms were clean, properly supplied and had functional fixtures. Hot water temperature was measured between 111 - 114 degrees Fahrenheit. Continued from 809 Common Areas: These included the living rooms and dining areas. The common areas were properly furnished and appeared to be relatively clean at this time. There is a hallways closet observed to be inaccessible to residents at this time. LPA observed PPE, jackets and other supplies for facility use at this time. At approximately 12:45pm, LPA observed resident watching television in the living room. Hallway closets by bedroom #1 and living room were observed to store extra linen and toiletries. Surrounding Grounds: LPA observed shaded patio furniture appropriate for outdoor use and plenty of room for outdoor activities. LPA did not observe any obstructions to emergency exits at this time. There is a detached garage located on the property. LPA observed garage to be used for storage of unused furniture, medical supplies and decorations. Facility is surrounded by a metal gate. LPA observed the gated doors nearest front entry and the larger gate on driveway to both be single action locks. INFECTION CONTROL: During today’s visit, LPA spoke with the Administrator regarding the facility’s infection control practices. Upon entry, the facility has a central entry point for symptom screening, temperature checks, and a sanitation station. LPA observed an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of COVID-19. The facility’s policies and procedures as it pertains to infection control are adequate at this time. Exit interview conducted and report issued to the Administrator.the state’s words, verbatim · CDSS document, Feb 2, 2023

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Brian Balisi conducted a subsequent unannounced Case Management - Incident visit to further investigate the incident report received at the Regional Office 01/17/2023. Information on the incident can be found on the initial Case Management - Incident report, which occurred on01/19/2023. Upon arrival LPA met with Administrator Brandon Zinkofsky and explained the reason for the visit. On 01/19/2023, LPA conducted initial Case Management - Incident visit and toured facility with Administrator, interviewed staff and residents and reviewed and obtained copies of pertinent documents relevant to the investigation. On 01/30/2023, LPA interviewed family member of Resident 1 (R1). Today LPA conducted physical plant, interviewed Staff 3 (S3), R1, as well as the Private Caregiver of R1 and the Hospice nurse of R1. LPA's interviews throughout the investigation with (3) residents, (5) staff, along with family member, the private care giver and hospice nurse revealed there was not sufficient evidence to prove physical abuse occurred. All parties interviewed also stated they have never observed any staff physically abuse R1 or other residents in care. The family member, private caregiver and hospice nurse continued to state they each had no immediate or potential concerns of any staff physically abusing R1 or other residents in care at this time. LPA records review of internal investigation conducted by facility revealed there was not sufficient evidence to prove physical abuse had occurred. No immediate health and safety concerns were observed during the visit and no deficiencies cited at this time. Exit interview conducted and report issued.the state’s words, verbatim · CDSS document, Feb 2, 2023

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Brian Balisi conducted an unannounced Case Management - Incident visit for an incident reports received at the Regional Office on 01/17/2023. Upon arrival LPA met with Administrator Clarita Zinkofsky and explained the reason for the visit. The incident report was authored by Administrator who indicated that on 01/12/2023, the private caregiver of Resident 1 (R1) alleged that Staff 1 (S1) and Staff 2 (S2) physically abused R1 while in care. No date and time of abuse was indicated. According to incident report, the Administrator contacted the responsible party of R1 and the Hospice nurse visited the facility to evaluate R1. No potential or immediate concerns were found by hospice at that time. At approximately 9am, LPA interviewed staff, (3) residents and reviewed and obtained pertinent documents relevant to the incident. Further investigation is required at this time. Exit interview conducted and report issued to Administrator.the state’s words, verbatim · CDSS document, Jan 19, 2023

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Brian Balisi arrived unannounced to conduct a Case Management - Deficiencies visit at this facility. Upon arrival LPA met with Clarita and explained the reason for the visit. At approximately 9am, LPA conducted physical plant, interviewed residents and staff as well as reviewed facility documents. Prior to visit , LPA printed out the facility personnel report summary from the Licensing Information System (LIS). Upon arrival, it was revealed that S1 has been working at the facility since it was licensed. Per record review, conducted by LPA on the Guardian website, S1 does have a criminal record clearance, but is not associated to this facility. The Administrator stated that the facility will ensure that all staff will have a criminal record clearance and are associated to the facility prior to working at the facility. Pursuant to Title 22 of the California Code of Regulations Division 6, Chapter 8, the following deficiencies were cited (refer to Lice 809-D). Civil penalties assessed in the amount of $500. Failure to correct the deficiencies may result in additional civil penalties. Exit interview conducted, appeal rights discussed and report issued to Administrator.the state’s words, verbatim · CDSS document, Jan 19, 2023

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(2) · Plan of correction due date: Jan 20, 2023

All individuals subject to a criminal record... residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 87355 C … This requirement is not met as evidenced by: Based on record review and interview the licensee did not comply with the section cited by not transferring the criminal record clearance for S1 to this facility prior to employment which poses an immediate health, safety and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jan 19, 2023

Plan of correction: Licensee agreed to submit a transfer of a criminal record clearance for all staff not associated to the facility by 01/19/2023. Licensee will submit proof of clearance to LPA via email by eod 01/19/2023.

Allegation investigated: Resident sustained an unwitnessed fall resulting in injuries. Facility failed to seek medical attention in a timely manner

Licensing Program Analyst (LPA) Brian Balisi conducted a subsequent complaint visit to deliver final findings for the above allegation. The initial complaint visit was conducted on 05/04/2022 by LPA Zabel Chochian. During today’s visit, Upon arrival at approximately 9:30am, LPA was screened by staff. At approximately 10:30am, LPA met with Administrator Brandon Zinkofsky and explained the reason for the visit. On 05/03/2022, the Department received a complaint regarding allegations of Neglect/Lack of Supervision. It was alleged that while under facility care, Resident #1 (R1) sustained an unwitnessed fall resulting in fractures to the tibia, fibula, proximal fibula to left leg and medical attention was not sought for R1 in a timely manner. The complaint was referred to Community Care Licensing Investigations Branch (IB) and assigned to Investigator Laura Garcia. On 05/04/2022, between 3:00pm and 4:30pm, LPA Chochian conducted the initial 10-day complaint visit. The LPA met with staff upon arrival and explained the reason for the visit. Staff contacted owner/assistant administrator Clarity Zinkofsky. Substantiated Continued from 9099 At approximately 3:15pm, the LPA and staff toured the facility indoors/outdoors; LPA conducted a file review and obtained copies of pertinent documentation at approximately 3:30pm. Investigator Garcia attempted to conduct interviews with the administrator on 05/06/2022 and 06/06/2022. On 06/10/2022, at approximately 4:30pm, conducted interview with the administrator; on 05/06/2022 attempted to conduct an interview with the assistant administrator; on 07/07/2022, at approximately 6:00pm, conducted interview with assistant administrator; on 07/06/2022, at approximately 1:00pm, and on 07/29/2022 at approximately 4:00pm, attempted interview with Staff #2 (S2); on 08/09/2022, from approximately 10:30am to 12:30pm, conducted interviews with assistant administrator, Staff #1 (S1), R1, and Resident #2 (R2); on 09/08/2022, from approximately 10:00am to 3:40pm, conducted interviews with S2, and R1’s resident representatives; and on 09/14/2022, at approximately 12:00pm, conducted an interview with Witness #1 (W1). Additionally, Investigator Garcia reviewed copies of medical records and photographs of R1’s injuries. The investigation revealed that on 05/01/2022, R1 sustained an unwitnessed fall. According to the Unusual Incident Report, on 05/01/2022, the staff placed R1 on the commode at approximately 3:30pm and then found R1 on the floor approximately 3:30pm. Per the staff, R1 denied pain and did not receive immediate medical care. Per the assistant administrator, the next day, she assessed R1 sitting in a wheelchair with slight pain noted on the left leg. R1’s resident representative was notified to have R1 evaluated at urgent care. The assistant administrator stated they called the taxi service and requested transportation for R1. At approximately 5:00pm she received a phone call from the taxi service advising her they were no longer providing transport services for the residents. Investigator Garcia contacted the taxi company and it reflected that there was no records the facility had called or placed an order. At 5:00pm the caregivers informed her that R1 was ok and did not need to go to the hospital. She advised the staff to observe R1 for the night. On 05/03/2022, at 7:30am, S2 called the assistant administrator to report swelling with bruising on R1’s left leg and texted a photo. At 8:30am, staff were informed to not move R1, give Tylenol and call 911. R1’s resident representative was notified and R1 was sent to the hospital. The Kaiser Permanente medical records reviewed indicate on 05/03/2022, at 10:00am, R1 was presented to the hospital for evaluation following a fall. R1 reported a ground level fall in the bathroom (1) week ago. Continued from 9099-C R1 noted lower extremity pain, swelling and bruising to the left ankle and lower leg prompting presentation to the Emergency Department for further evaluation. R1 stated they are usually wheelchair bound and does not ambulate. It was notated that R1 has a history of falls and unsteady gait. X-rays were taken and demonstrated fracture of the distal tibia, fibula and proximal fibula. Physician discussed with R1 that typically this fracture pattern indicates surgery for maintenance of alignment and ankle stability. However, since R1 was non-ambulatory with medical comorbidities that make risks of surgery outweigh the benefits. R1 agreed and was placed in a cast and discharged back to the facility. The hospital records also noted neglect issues. It was revealed that while R1 was assessed at the hospital, the social worker (LCSW) contacted the assistant administrator to inquire if R1 had fallen a week ago. The assistant administrator reported that R1 fell the day before yesterday (05/01/2022) and did not believe R1 had a fall a week ago, but that R1 was seen crawling on the bathroom floor a week ago. Assistant administrator stated they assessed R1 and R1 did not report having any pain. The LCSW received a referral from the bedside RN due to concerns about R1’s fall. Per the RN, R1’s bruising appeared to be in different stages of healing. Per chart review R1 fell while transferring to a wheelchair over a week ago. During the interview with investigator Garcia, R1 stated that on one occasion they fell off the bed and that they kept screaming for help because they don’t have any type of emergency alarms in the bedrooms. R1 stated that two staff came into the room and assisted R1 back to the bed. But R1 reiterated they kept telling the staff that they wanted to go to the hospital because they were in so much pain. R1 stated they kept complaining to the staff, but they did not listen. R1 stated they ended up taking R1 several days after, and when the hospital took x-rays they saw several fractures. Information obtained through interviews found that staff were unable to provide consistent statements regarding the appropriate level of care provided to R1. Additionally, they were unable to provide any notes regarding R1’s care, R1’s leg/foot condition, Doctor’s recommendations, or supervision logs. The staff stated that when R1 was found on the floor, R1 did not complain of any pain, therefore, no medical attention was immediately sought. The staff were aware that R1 was a fall risk and confirmed that in several occasions, R1 “would slide off” bed and was found crawling on the floor. Vague statements were provided regarding the level of care and appropriate safety measures in order to prevent further injuries. Continued from 9099-C Based on the statements provided, documentation and photographs obtained, the Department has sufficient evidence to support the allegations. Therefore, the above allegations, “ Resident sustained an unwitnessed fall resulting in injuries” and “Facility failed to seek medical attention in a timely manner” are deemed SUBSTANTIATED at this time. A $500 immediate civil penalty is assessed today. The Administrator was informed that additional civil penalties might be assessed based on Health and Safety Code 1569.49(f). Pursuant to Title 22, California Code of Regulations, the following deficiencies are cited (refer to LIC 9099-D) Exit interview conducted, civil penalty issued, appeal rights discussed, and a copy of this report issued.the state’s words, verbatim · CDSS document, Oct 7, 2022 · control 29-AS-20220503165055

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87464(f)(1) · Plan of correction due date: Oct 10, 2022

87464(f)(1) Basic Services. (f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code Section 1569.2(c). This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above. (R1) was not provided the proper supervision to ensure R1’s safety. R1 had a history of falls, which led to R1 sustaining fractures to tibia, fibula, proximal fibula to left leg from a fall(s), which posed an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Oct 7, 2022

Plan of correction: Licensee will submit a written action plan regarding proper resident care and supervision to CCL by COB Monday 10/8/2022 via email.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(1) · Plan of correction due date: Oct 10, 2022

87465(a)(1) A plan for incidental medical and dental care shall be developed by each facility. The plan shall...(1) The licensee shall arrange, or assist in arranging, for medical...conditions and needs of residents. This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above. The administrator did not take action to have R1 transported to a medical facility for 2 days after R1 fell off commode and was found on floor, which posed an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Oct 7, 2022

Plan of correction: Licensee will submit plan how you will ensure residents receive timely medical care. Submit to CCL by COB Monday 10/8/2022 via email.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Brian Balisi arrived at the facility unannounced to conduct a required annual. This annual had a specific emphasis on infection control practices and procedures. Upon arrival LPA met with Administrator Brandon Zinkofsky and explained the reason for the visit. At approximately 2:30pm, LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The carbon monoxide and smoke alarms were tested and all functioned properly. The fire extinguisher was fully charged and last serviced in Jan of 2022. Kitchen: LPA observed Kitchen to be inaccessible to residents at this time. The kitchen appeared clean and the appliances and fixtures functional. Properly labeled medications and sharp objects were observed to be locked in a cabinet to the right of the fridge. LPA observed a sufficient amount of perishable food stored in the fridge and non-perishable food properly stored in a pantry inside of the laundry room on the exterior of the kitchen. Bedrooms: There were (7) bedrooms total with (1) bedroom designated for staff use, which was located next to the kitchen. LPA observed staff room to be empty at this time. All bedrooms for clients use were properly furnished and had appropriate bedding and linens. Bathrooms: There were two bathrooms designated for clients' use. Both bathrooms were clean, properly supplied and had functional fixtures. Hot water temperature was measured between 110.6 - 115.1 degrees Fahrenheit. Continued from 809 Common Areas: These included the living rooms and dining areas. The common areas were properly furnished and appeared to be relatively clean at this time. Surrounding Grounds: LPA observed shaded patio furniture appropriate for outdoor use and plenty of room for outdoor activities. LPA did not observe any obstructions to emergency exits at this time. There is a detached garage located on the property. LPA observed garage to be used for storage of unused furniture, medical supplies and fridge to store extra food for the residents in care. INFECTION CONTROL: During today’s visit, LPA spoke with the Administrator regarding the facility’s infection control practices. Upon entry, the facility has a central entry point for symptom screening, temperature checks, and a sanitation station. LPA observed an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of COVID-19. The facility has not had a confirmed case of COVID-19 at this time; however, the facility’s policies and procedures as it pertains to infection control are adequate. Exit interview conducted. Report issued and sent via email.the state’s words, verbatim · CDSS document, Feb 17, 2022