Purpose:
It’s our goal to ensure that both our Residents and Visitors are safe during Visitation.
Policy:
A Touch Class #1 Adult Care LLC ALF is opened for visitation only if there is no Infectious or
Communicable disease or any suspected cases.
The restriction does not apply to compassionate and essential visitors.
A. Residents have the right, subject to their consent, to receive the visitor(s) who they designate, including, but not limited to, a spouse, a family member, or a friend.
1. Residents have the right to have consensual physical contact between them and their visitor(s).
B. Residents have the right to withdraw or deny such consent at any time.
C. The facility will allow in-person visitation under the following specified circumstances.
Residents have the right to withdraw or deny such consent at any time:
1. End-of-life situations.
2. A resident who was living with family before being admitted to the provider's care is struggling with the change in environment and lack of in-person family support.
3. The resident is making one or more major medical decisions.
4. A resident, client, or patient is experiencing emotional distress or grieving the loss of a friend or family member who recently died.
5. A resident needs cueing or encouragement to eat or drink which was previously provided by a
family member or caregiver.
6. A resident who used to talk and interact with others is seldom speaking.
D. The following rules are in place regarding visitation
➢ Visiting hours are every day at any time between the hours of 9 am and 9 pm.
➢ A Resident may have 2 visitors at a time.
Visitation may be a minimum of 2 hours per resident.
➢ Visitors are encouraged to call in advance to schedule visits.
➢ Visitors are discouraged from visiting if they present any kind of respiratory illnesses
➢ All visitors will be screened upon entry
➢ All visitors must fill out the screening questionnaire
➢ Visitors will not be compelled to provide proof of vaccination or immunization status
➢ All visitors should decontaminate hands upon entry. Hand hygiene or use of alcohol-based hand rub is preferred. Visitors must follow our infection policies.
➢ All visitors must wear face masks.
E. The facility may require that a visitor agree in writing to the visitation policy and has the right to suspend a visitor, including:
a. Behavior disruptive of the functioning of the patient care unit;
b. Behavior presenting a direct risk or threat to the patient, hospital staff, or others in the immediate environment;
c. Patient's risk of infection by the visitor;
d. Visitor's risk of infection by the patient;
e. Patient's need for privacy or rest
F. The Administrator or Designee of A Touch
Class #1 Adult Care LLC ALF is responsible for ensuring that the staff adhere to the visitation policies and procedures.
A Touch Class #1 Adult Care LLC Essential Caregiver Policy and Procedure
I,
designate
as essential
caregiver for
In making this designation, I consent and understand the following:
1. Visits by essential caregivers are subject to A Touch Class #1 Adult Care LLC’s policies and procedures and ability to screen visitors and monitor visits.
2. All essential caregiver visits may be scheduled, based on current facility conditions, and are at will be set for a minimum of 2 hours daily.
3. Limited to one visitor at a time, and are limited to designated areas only. (Please speak with the Administrator regarding possible exceptions for end-of-life situations).
4. I,
have the ability to object to a visit at any time, even under the following circumstances:
a. End-of-Life situations
b. A resident, client, or patient who was living with family before being admitted to the provider’s care is struggling with the change in environment and lack of in-person family support.
c. The resident, client, or patient is making one or more major medical decisions.
d. The resident, client, or patient is experiencing emotional distress or grieving the loss of a friend or family member who recently died.
e. A resident, client, or patient needs cueing or encouragement to eat or drink which was
previously provided by a family member or caregiver.
f. A resident, client, or patient who used to talk and interact with others is seldom speaking.
5. Essential caregivers will need to follow the facility’s infection control and education policies and procedures and agree to such. At no time will they be more stringent than those for staff and at no time required to submit proof of vaccination.
6. Essential caregivers must sign an acknowledgment of completion of required training and adherence to infection prevention and control policies.
7. Visits by a specific essential caregiver may be suspended for failure to follow infection prevention and control requirements or other related rules of A Touch Class #1 Adult Care LLC. At that time the resident or resident’s representative can designate a new essential caregiver.
Resident or Legal Representative Signature Date
Resident or Legal Representative Printed Here Date
Facility Representative Signature Date
Facility Representative Printed Name Date
INFECTIOUS DISEASE /COMMUNICABLE DISEASE
POLICY AND PROCEDURES
(COMMUNICABLE DISEASE)
In response to the INFECTIOUS/COMMUNICABLE DISEASE which poses a threat to the State of Florida, we at A Touch Class #1 Adult Care LLC will be prohibiting certain individuals from visiting
the facility.
Any person infected with any Infectious or Communicable disease is prohibited from visiting the facility.
Any person showing or presenting signs or symptoms of a respiratory infection, including cough, fever, shortness of breath, or sore throat is prohibited from visiting the facility.
Any person who has or may been in close contact with a person(s) infected with a Communicable disease who has not tested negative for Communicable disease is prohibited from visiting the facility until cleared by their healthcare practitioner.
Any person who has been in a community with confirmed community spread of Communicable disease, as identified by the Centers for Disease Control and Prevention or a state public health agency, is prohibited from visiting the facility until 14 days of their presence in the community with community spread.
Any person who resides in a community or who has been in a community with confirmed community spread of Communicable disease, as identified by the Centers for Disease Control and Prevention or a state public health agency, is prohibited from visiting the facility.
To ensure the safety of the residents, staff will watch for symptoms that may appear 2-14 days after exposure: fever, cough, and shortness of breath. If signs or symptoms appear, the primary care provider will be notified.
Prevention Measures
To prevent the spread of Infectious or Communicable diseases, avoid being exposed to any virus.
Everyday prevention action to help prevent the spread of respiratory diseases, including:
• Avoid close contact with people who are sick.
• Avoid touching your eyes, nose and mouth.
• Stay home when you are sick.
• Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
• Clean and disinfect touched objects and surfaces using a regular household cleaning spray or swipe.
• Wash your hands often with soap and water for at least 20 seconds, especially after going to the bathroom, before eating, and after blowing your nose, coughing, or sneezing.
• If soap and water are not readily available, use an alcohol-based hand sanitizer with at least 60% alcohol. Always wash hands with soap and water if hands are visibly dirty.
Facemasks
Facemasks should be worn by people who show symptoms of Communicable disease to help prevent the spread of the disease to others. The use of facemasks is crucial for healthcare workers and people who are taking care of someone in close settings such as at home or in a healthcare facility.
Watching for symptoms and emergency warning signs
• Pay attention to potential Communicable disease symptoms including fever, cough, and
shortness of breath. If symptoms develop, the primary care providers will be notified.
• If emergency warning signs for Communicable disease develop residents will be given medical
attention immediately and emergency medical services (911) will be notified.
• Emergency warning signs are difficulty breathing or shortness of breath, persistent pain or pressure in the chest, new confusion or inability to arouse, bluish lips or face.
Personal Protective Equipment (PPE) and Hand Hygiene
• When cleaning staff should wear disposable gloves and gowns for all tasks in the cleaning
process, including handling trash.
• Gloves and gowns are compatible with the disinfectant produced being used.
• Additional PPE may be required based on the cleaning/disinfectant products being used and
whether there is a risk of splash.
• Gloves and gowns should be removed carefully to avoid contamination of the wearer and the
surrounding area. Be sure to clean your hands after removing gloves.
• Gloves should be removed after cleaning a room or area occupied by ill persons. Clean hands immediately after gloves are removed.
• Follow normal preventative actions while at work and home, including cleaning hands and
avoiding touching eyes, nose, or mouth with unwashed hands.
• Additional key times to clean hands include: after blowing one’s nose, coughing or sneezing,
after using the restroom, before eating or preparing food, after contact with animals or pets, and before and after providing routine care for another person who needs assistance.
COMMUNICABLE DISEASE TRAINING
Training will include when to use PPE, what PPE is necessary, how to properly don (put on), use, and doff (take off) PPE, and how to properly dispose of PPE. Staff will be trained on the hazards of the cleaning chemicals used in the workplace in accordance with OSHA’s hazard Communication standard.
A Touch Class #1 Adult Care LLC will comply with OSHA’s standards on Bloodborne Pathogens, including proper disposal of regulated waste and PPE.
Staff will be educated on performing cleaning, laundry, and trash pick-up activities to recognize the symptoms of COMMUNICABLE diseases and provide instructions on what to do if they or residents develop symptoms within 14 days after their last possible exposure to the virus.
Any staff should immediately notify the supervisor and the local health department if they develop symptoms of any Communicable disease. The health department will provide guidance on what actions need to be taken.
A TOUCH CLASS #1 ADULT CARE LLC
POLICIES AND PROCEDURES
INFECTION CONTROL
Hand washing with germicidal soap is the easiest and most effective way to prevent the spread of germs.
Caregivers must wash their hands between residents as well as change their gloves. Never reuse gloves.
The staff should use the basic principles of universal precautions such as gloving when coming in potential contact with bodily fluids.
Potential ports of entry for infection include the eyes, ears, nose, mouth, as well as the rest of the body’s orifices. Some potential sources of infection include blood, wound drainage, tissue, urine, feces, and sputum.
Bio-hazardous waste should be disposed of in a safe manner into the appropriate Bio-waste Container.
Disposable discards are double bagged and non-disposable contaminated items such as laundry must come in contact with a bleach solution for not less than thirty (30) minutes. Laundry service is provided to the resident on an ongoing basis.
Housekeeping duties for staff members are located in their job descriptions and on the duty list. Staff members are reminded to bring areas concerning infection control to the attention of the Administrator.
Bathrooms must be disinfected between uses by the residents and must be thoroughly cleaned according to the schedule in the duty list. Infection Control topics will be reviewed on an as-needed basis by the Administrator or a Nurse.
Special Infection Control techniques regarding the handling of food must be followed to prevent the spread of bacteria. Dietary gloves and hairnets are provided and must be used by the staff when preparing food. Refrigeration of food and handling of raw meats require special attention by the staff.
Dirty dishes must be rinsed before running through a dishwashing cycle. All equipment used in the preparation or serving of food must be completely broken down and sanitized. There is no smoking, eating, or drinking in the kitchen. All containers must be properly dated and all out-of-date food must be discarded.
Infection Control Policy and Procedure for Handling Soiled Linen:
Handling of Soiled Linen:
When Removing from Resident’s Room: After assisting residents with changing and/or toileting resulting in soiled clothing, place soiled linen directly into small clear garbage bags, and be sure to tie the bag closed to prevent any leakage or contamination while in transport.
Utilize clear bags so as not to confuse resident’s clothing/ linen with trash. Place the closed bag of soiled laundry into the closest appropriate soiled linen receptacle. Never leave the bag of soiled linen unattended, on a resident’s bed, on the floor, or on other clean surfaces utilized by the resident or staff.
When Transporting Soiled Linen to Laundry Area: Throughout the facility are containers with lids marked soiled linen. Place bagged soiled linen into these containers and ensure that the lids are always closed. Utilize these containers for storing and transporting soiled linen. The containers should be checked throughout the day and promptly taken to the laundry area when they become half full. The container will be washed on an as-needed basis if it becomes very soiled by the first staff member who recognizes the need. The containers will be washed once a week on Friday, regardless of their cleanliness by the Housekeeping staff. The containers will be cleaned with a bleach solution for disinfecting purposes.
When Transferring From Soiled container to Washing Machine: Remove lid to soiled linen
container. Remove each bag of soiled linen and inspect for extremely soiled articles or particulate matter. Extremely soiled articles must be completely rinsed and placed in the appropriate disinfecting solution for pre-cleaning. White articles will be placed in mild bleach solution for thirty (30) minutes.
Colorfast articles will be placed in a mild Pinesol solution for thirty (30) minutes. After examining the articles, place them directly into the washing machine for cleaning. Utilize laundry soap in keeping with instructions from the packaging. Utilize bleach when washing whites and bed linen.
After Washing, Remove From Washing Machine and Place in Dryer: Take time to re-examine
articles for remaining soiled stains, tears, or previously unidentified particulate matter. Soiled articles should be washed again or bagged and saved for inspection by designated staff to determine if the article will be discarded. Torn articles should be inspected and identified for mending after drying. If unable to mend, bag and save for inspection by designated staff for discard.
After Drying, Remove From Dryer and Transfer to Folding Area: After drying, place clean articles of linen and clothing into the clean linen container. The clean linen containers are clearly marked and located in the drying area. The clean containers should only be found in the drying area or a folding table area.
Folding of Linen and Returning to Appropriate Storage Area: Prior to folding articles, clean
the folding table with bleach solution. All shirts, pants, sweaters, jackets, etc., should be placed on hangers.
All other articles must be folded. After hanging and folding, sort articles by resident and return to each individual’s private area, covered. Always return articles to the appropriate closet or dresser. Never leave articles lying around without being in storage. Never leave one resident’s clothing in another resident’s room. Do not use a resident’s room for folding. After folding, clean the folding table with a mild bleach solution
