Mackellah Home II

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 2/8/23 to conduct a Required-1 Year Inspection utilizing the infection control domain. LPA met with staff and explained the purpose of the visit. Prior to initiating the annual inspection, LPA completed required the department's COVID-19 protocols. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical Mask. Additionally, LPA were screened by facility staff upon entering the facility. LPA requested for staff to notify Administrator that LPA is present at the facility to conduct an annual inspection. Administrator was called and arrived to assist. Infection control plan was unavailable for review. Licensee will submit the plan to LPA for review and document staff training on the plan. LPA toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. Administrator arrived at the facility. LPA, Administrator, and Infection control Leader completed the infection control domain and facility was found to be in substantial compliance at this time. LPA and licensee discussed the following: Symptom screening, Fit testing, re-tagging the fire extinguisher, repairing the side gate damaged by storms, retrieve admin cert form other facility . LPA requested for documents such as LIC 500, Administrator's Certificate, Resident roster, Liability Insurance and completed LIC 308 for designees in the absence of the administrator. Documents to be submitted to LPA via email by due date on, 2/15/23. No deficiencies are being cited as a result of todays inspection. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, Feb 8, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual inspection. LPA met with Milagros Alvarez, caregiver, and explained purpose of inspection. Nelson Jacinto, Administrator arrived at approximately 2:45 pm. Prior to initiating today's inspection, LPA completed required COVID-19 testing protocols, contacted the facility to confirm there are currently no positive Covid-19 diagnoses, completed a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms Additionally, LPA was screened per Covid-19 precautionary measures upon entering the facility. LPA ensured she applied hand sanitizer before entering the facility and was requested to do so also upon entering the facility. The following Personal Protective Equipment (PPE) was worn: KN95 mask. LPA observed (3) residents sitting in the family room and (3) residents to be in their rooms. There are no residents currently receiving hospice services. LPA and Administrator toured and observed the facility to ensure the health and safety of residents in care. Areas toured include: common areas,(2) private bedrooms, (2) shared bedrooms, (2) bathrooms, dining room, sitting room and kitchen. LPA observed the facility to be clean and in good repair (except small tear in patio screen door screen- technical violation). LPA observed 2+day perishable and 7+day non-perishable food supply. PPE supply for 30+ days on hand. LPA observed various Covid posters throughout. Fire extinguisher last serviced 12/27/2021. LPA observed locked medications and sharps in the kitchen and locked toxins in the laundry room. Discussed and verified vaccination status of residents and staff. Discussed current visitation protocols per Covid-19 precautionary measures. Discussed updating the visitor sign-in page to record date of vaccination, signs/symptoms, and temperature. Discussed posting updated Administrator certificates- Administrator to provide updated copy to the Department. LPA previously requested updated documentation in September 2021. There are no deficiencies cited during today's inspection. Technical violation issued only. Exit interview with Administrator, Copy of report left at facility.the state’s words, verbatim · CDSS document, Mar 4, 2022

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual inspection. LPA met with Arlene Henry, caregiver, and explained purpose of inspection. LPA spoke to Administrator, Nelson, by phone, who was at a related facility and unable to come to this facility during the time of the inspection. Prior to initiating today's inspection, LPA completed required COVID-19 testing protocols, contacted the facility to confirm there are currently no positive Covid-19 diagnoses, completed a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms Additionally, LPA was screened per Covid-19 precautionary measures upon entering the facility. LPA ensured she applied hand sanitizer before entering the facility and was requested to do so also upon entering the facility. The following Personal Protective Equipment (PPE) was worn: surgical mask. LPA observed (2) residents sitting in the family room and (4) residents to be in their rooms. There are no residents currently receiving hospice services. LPA and Administrator toured and observed the facility to ensure the health and safety of residents in care. Areas toured include, but are not limited to: common areas,(2) private bedrooms, (2) shared bedrooms, (2) bathrooms, dining room and kitchen. LPA discussed how beds in shared rooms need to be 6 feet apart or 6 feet apart diagonally, from head to toe orientation. LPA observed 2+day perishable and 7+day non-perishable food supply. PPE supply for 30+ days on hand. In the areas toured, there were no immediate health, safety, or personal rights violations observed. LPA and Administrator completed the infection control domain and facility was found to be in compliance at this time. Inside temperature was observed to be 75* F. Caregiver advised that staff document daily staff temperatures. LPA requested updated copy of LIC500, LIC610E and liability insurance be faxed to the department by 9/15/2021. Discussed current testing requirements. All staff and residents are currently fully vaccinated. There are no deficiencies cited during today's inspection. Exit interview with caregiver who was authorized to sign today's report. Copy of report left at facility.the state’s words, verbatim · CDSS document, Sep 8, 2021