complaint·May 27, 2022

Regarding Allegation: “Questionable Death” The Investigation conducted by IB Investigator Dennis Douglas revealed that the facility Crofton Manor had two outbreaks of Covid-19, in the year 2020. It was alleged that the facility was not taking necessary precaution during the early stages of Pandemic, in 2020. The outbreaks were among both staff, and residents in care. Interviews conducted with 14 Staff generally stated that they had observed staff practicing Social Distancing, Wearing Masks, and if sick/ confirmed Covid positive, not to return to work, until cleared. Residents interviews R2-R5; Generally stated they did not observe any confirmed Covid-19 Resident(s) out of their rooms walking through out the facility. Interviews with Administrator Stated that when the facility received their first case of Covid-19; in May of 2020, they contacted Department of Public Health Long Beach. The Department of Health Performed weekly Testing, on staff and residents. Testing was performed until facility was clear, In August of 2020. The second outbreak was not until December of 2020. Record Review that the facility notified licensing, and Department of Public Health in 2020 of first and continued outbreaks. Mitigation Plans were put in place to address epidemic outbreaks or communicable diseases specific to Covid-19, but were not required to be put into place by Community Care Licensing Division (CCLD) until 01/24/21. R1 was admitted to the hospital several times for underlying health conditions, beginning 10/10/20, until their death on 05/01/21. The department finds that cause of death was not due to Negligence. Based on Interviews, Record Review, and Observation the Department finds that: “Although the allegation may have happened or is valid, there is not preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.” An Exit interview conducted, copy of this report provided. No Citations issued during this visit.