complaint·October 20, 2022

Regarding the allegation: Staff are not following masking protocols to prevent the spread of COVID. It was alleged that staff in the facility were not following COVID-19 health and safety protocols, including not wearing a mask or not properly wearing a mask. At the entrance of the facility, the LPA was greeted by Staff #1 (S1), whom was not wearing a mask. Staff #2 (S2) was also at the entrance of the facility and was wearing a mask. Once instructed by Staff #3 (S3), S2 put on a mask. At 11:40 a.m., the LPA conducted an interview with the Administrator. The Administrator explained that S1 is on kitchen duty today and does not have direct contact with the residents. The LPA reminded the Administrator that regardless the staff should be wearing a mask while in the facility, unless the staff is eating. At 12:00 p.m., the LPA and the LPM had a conversation with the Licensee and Administrator reminding them of the guidance of proper use of face mask with Provider Information Notices (PINs), PIN 21-38 ASC and PIN 22-15.1 ASC. Furthermore, information obtained from a credible witness confirmed on 10/04/2022, that a credible witness noted that two staff were not wearing masks while in proximity of residents. Based on the investigation, the preponderance of evidence standard has been met, therefore the above allegation is deemed Substantiated. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, the following deficiencies were observed and cited during the visit (See 9099-D). Exit interview conducted. A copy of the report and appeal rights was provided.