complaint·March 7, 2022

During the investigation it was determined that there was sufficient evidence to Substantiate that facility staff were not wearing masks appropriately. LPA's Keane and Valencia entered the facility on 8/27/21 at 12:30 p.m. and waited for approximately (5) five minutes for an employee to screen them. After about (5) five minutes, LPA's screened themselves. While LPA's were screening they observed an office with an open door and (2) two people sitting at a desk. One person was wearing a mask and the other, identified by AD as the Human Resources person was wearing a mask under her nose. LPA's toured the facility with AD, where LPA's observed another office with an open door and a person sitting behind the desk with a mask under her chin. LPA's went to AD's office after touring the facility and AD admitted that staff do not wear masks appropriately and need constant reminders about this issue. LPA received the LIC 808 (Mitigation Plan) from AD on 5/24/2021. LPA reviewed the LIC 808 and on page 13, the mitigation plan it states; "All facility staff are wearing a face covering while on the premises." Facility is not following the mitigation plan that was submitted to Licensing. Based on the evidence obtained, the preponderance of evidence standard has been met; therefore , the allegation is found to be Substantiated. California code of Regulations (Title 22) is being cited on the attached LIC 9099D. Appeal rights were provided and exit interview conducted.