COVID-19 check·January 26, 2022

Licensing Program Analyst(s) (LPA) Mary Flores conducted a case management visit to follow up on initial COVID 19 positive cases reported to the department on 1/21/22. LPA Flores met with Jeanine Hernandez Assistant Administrator and explained the reason for the visit. On 1/21/22 LPA Flores contacted the facility to follow up on email dated 1/20/22 noting a possible COVID breakout at the facility. LPA Flores spoke on the phone with Administrator Anabelle Argenal who reported the breakout on 1/21/22. Facility's first COVID positive test result date was 12/26/21, administrator was made aware on the same date, 6 COVID positive test results occurred between 12/26/21 - 12/31/21 and 8 positive test results were received by administrator between 1/1/22 - 1/20/22 after facility conducted testing. Administrator stated that due to the breakout at the facility, was only able to reported to Pasadena Department of Public Health and did not follow up to report other pertaining agencies (Community Care Licensing Division (CCLD)and Local Ombudsman (LTCO)). Incident Report reporting COVID positive cases was faxed to the department on 1/21/22, there are no other methods of notifications to the department on record. Facility has continue to report daily since 1/21/22 of new cases. Per Title 22 Regulations Chapter Division 6 Chapter 8 - Section 87211 Reporting Requirements - Facilities are to notify the department within 24 hours of occurrences, such as epidemic outbreaks, poisonings, catastrophes or major accidents which threaten the welfare, safety or health of residents, personnel or visitors. Deficiencies have been noted on LIC 809D. Exit interview was conducted with Jeanine Hernandez assistant administrator and a copy of this report, LIC 809D, and appeal rights were provided.