complaint·August 3, 2021

Per interviews conducted with the Administrator and Staff, they all have received training on COVID-19 and on properly donning and doffing the PPEs. They also stated that the Administrator will remind staff the importance of wearing their masks regularly. The Administrator and the Director of Health Services are the ones who provide ongoing in-services to educate and update staff on COVID-19. LPA obtained the sign-in log on Aerosol Transmissible Disease and PPE/Respiratory Protocol which was held in April 2021. In addition, the Administrator stated that staff also receives updates on COVID-19 during staff meetings which are held once a month. During today’s visit, LPA observed all staff wearing a mask properly. LPA interviewed 6 Staff and all stated that masks are required at the facility. 5 out of 6 stated staff wear their masks at all times in the facility, except when they are eating. One stated that staff were seen without a mask sometimes and had to remind them. Only 1 out of 3 residents interviewed stated the staff was not seen wearing a mask at times. Administrator Ahmed also disclosed that a staff was counseled sometime last week for forgetting to wear a mask while assisting a resident in the room. The resident’s family member also witnessed staff not wearing a mask. Based on interviews conducted, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6 and Chapter 8), are being cited on the attached LIC 9099D. An exit interview was conducted. A copy of this report, Plan of Correction, and Appeal Rights were provided to the LVN.