Oani Home Care for the Elderly

Allegation investigated: Staff did not keep pressure injury free from ants

Licensing Program Analyst (LPA) Olson conducted an unannounced subsequent complaint visit to issue final findings on the allegation above. LPA Olson interviewed reporting party on 3/30/23 and Staff on 4/26/23. LPA Chavez interviewed Administrator and resident on 4/3/23 and requested relevant documents. LPA Olson met with Administrator and explained the purpose of the visit. On the allegation: Staff did not keep pressure injury free from ants. It was alleged that on 3/26/23 Resident 1 (R1) had a pressure injury and a witness observed a trail of ants going from the corner of the room, up the bed, and into R1’s wound. Witness stated they notified the administrator and there was no vacuum or bug spray but was given Lysol and sprayed as many ants as they could on the bed, and tried to clean off as many ants they could from the wound and the resident. The witness stated in their opinion, the Administrator didn’t seem bothered or care that there were so many ants on the resident or in their wound. Interview with the Administrator revealed that R1 moved in on 3/5/23. Administrator stated on 3/26/23 someone observed ants on Resident 1 and showed the Administrator. Continued on 9099-C Unsubstantiated Administrator stated there were “two ants” on the residents’ sheets and they changed them immediately. Administrator also sprayed the room near the door and had not seen ants since. LPA Chavez Interviewed a new resident who now resides in R1’s room who stated they have seen an ant in their room but can’t remember if it happened more then once, and stated they didn’t tell staff. On 4/3/23 LPA Chavez did not observe any ants in the room, near the door or window where R1 resided. LPA Olson toured the facility on 4/26/23 and did not observe any ants in the room. LPA interviewed Staff on 4/26/23. Staff stated there were only ants on R1's sheets but not on the resident and they did not observe any ants that week on or near the resident. Based on the information obtained the allegation: Staff did not keep pressure injury free from ants is Unsubstantiated. Technical Assistance was issued to instruct the Administrator on the importance of keeping the facility clean and free of ants. Exit interview conducted, copy of the report was issued.the state’s words, verbatim · CDSS document, Apr 26, 2023 · control 29-AS-20230329134815

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Olson conducted an on-site 1 year infection control annual visit to the facility above on 2/15/2023 at 11:20 PM. LPA met with Administrator/Licensee and explained the purpose of the visit. LPA took a physical plant tour of the facility with Administrator. The facility has submitted an Infection Control Plan to the department. The facility has an entry point at the front door where everyone entering completes temperature screening on all staff and visitors wanting to come into the facility. The entry station has hand sanitizer along with a thermometer. The staff screen residents for symptoms and temperature once a day. Increased monitoring is conducted if any change of condition are noted or any residents are showing any signs, symptoms or a temperature. Signs are posted in the front door and entry area regarding Covid-19. 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. Facility has areas for visiting inside and outside. The facility also offers virtual and telephone communications to all residents in care. Staff, Residents and visitors are informed of the facilities infection control policies. New residents and staff will be tested and negative results received before working or residing in the facility. The facility has procedures and plans for screening, isolation, testing, when to call 911 and notifying all responsible parties and agencies when needed. Administrator is in charge of infection control and provides training and education to staff, residents and visitors. Staff will use full PPE with N95 masks and face shields when working with any pending or confirmed cases of Covid-19. Facility is able to dedicate a single room for residents so isolation can be arranged when and if needed. The facility has single and double rooms that are disinfected and wiped down daily. Precautionary Droplet signs will be posted on any room with quarantine or isolated individuals. PPE supplies will be located right outside those rooms when required. Facility has a 30 day supply of PPE on hand. Continued on 809-C Facility has plans for delivering medications and meals to any quarantined/isolation resident rooms. Facility Administrator has a plan in place for when and whom to notify in an outbreak or other emergencies. Administrator will keep a line list of all vaccinated and tested staff/residents in care with dates/results. Facility has conducted training on infection prevention, symptoms, transmission and PPE use. Facility has non-punitive sick leave polices for staff. Sick staff are requested to stay home and not report to work if ill. Residents medication is delivered in 30 day supplies to the facility. The facility ensures proper cleaning is done on frequently touched surfaces and between any individuals sharing of space or items. Sinks were well stocked with soap, and paper towels. Staff and resident records are kept in a locked cabinet. Facility does realize guidance changes and the most up to date guidance from CCL-PINS, CDC, CDPH, and local health departments should be followed to remain in compliance. Administrator Certificate is valid. The facility has working smoke and carbon monoxide detectors present in the facility. At approximately 12:05 pm, LPA reviewed Guardian/Department of Social Services, Community Care Licensing Division, Licensing Information System (LIS), Facility Personnel and facility staff roster and determined that all staff are fingerprint cleared and associated to the facility. All infection control protocols are implemented and are being followed. Exit interview completed, copy of report will be emailed to Licensee and printed.the state’s words, verbatim · CDSS document, Feb 15, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Olson conducted an on-site 1 year infection control annual visit to the facility above on 03/23/2022 at 12:55 PM. LPA met with Administrator Shirley Oani and explained the purpose of the visit. LPA took a physical plant tour of the inside and outside of the facility with Administrator. The facility has an entry point at the front door where everyone entering completes sign-in, symptoms screening and temperature check for all staff and visitors wanting to come into the facility. All documentation is kept in a file. The staff screen residents for symptoms and temperature 1x a day and documentation is kept on file. Increased monitoring is conducted if any change of condition are noted or any residents are showing any signs, symptoms or a temperature. Signs are posted on the front door, entry area regarding Covid-19. 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. Facility has areas for visiting inside and outside. The facility also offers virtual and telephone communications to all residents in care. Staff, Residents and visitors are informed of the facilities infection control policies. New residents and staff will be tested and negative results received before working or residing in the facility. Residents rights are not being violated. Residents and Responsible Parties are notified by facility when required. Continued 809-C The facility has procedures and plans for screening, isolation, testing, when to call 911 and notifying all responsible parties and agencies when needed. Emergency Disaster plan is updated with telephone numbers. Administrator is in charge of infection control and provides training and education to staff, residents and visitors. Administrator oversees staffing and works on any issues or additional coverage. If any suspected or confirmed cases of Covid-19 are found in the facility a staff will use PPE supplies that will be located right outside those rooms when required. Facility has a 30 day supply of PPE on hand. Facility has plans for delivering medications and meals to any quarantined or isolated resident room. The facility has proper cleaning and disinfectant policies. Facility Administrator has a plan in place for when and whom to notify in an outbreak or other emergencies. Administrator will keep a line list of all vaccinated and tested staff/residents in care with dates/results. Facility has conducted training on infection prevention, symptoms, transmission and PPE use. Facility has non-punitive sick leave polices for staff. Sick staff are requested to stay home and not report to work if ill. Activities have been modified to individuals or small groups with social distancing. Residents medication is delivered in 30 day supplies to the facility. The facility ensures proper cleaning is done on frequently touched surfaces and between any individuals sharing of space or items. Sinks were well stocked with soap, paper towels and hand washing signs. Staff and resident records are kept in locked cabinet. Facility does realize guidance changes and the most up to date guidance from CCL-PINS, CDC, CDPH, and local health departments should be followed to remain in compliance. The most stringent orders should be followed by any of these agencies. Administrator Certificates are valid. Fire extinguishers are charged. Smoke alarms and Carbon monoxide detectors are present. No deficiencies observed during the visit and all infection control protocols are implemented and are being followed. Exit interview completed and copy of report emailed to Administrator/Licensee.the state’s words, verbatim · CDSS document, Mar 23, 2022