COVID-19 check·December 9, 2021

Licensing Program Analyst (LPA) Lourdes Montoya conducted an unannounced Case Management visit. Upon arrival at the facility, LPA Montoya called the Administrator, Laura Martz and left a voicemail message. Soon later, Martz arrived the facility and assisted LPA Montoya with the visit. LPA Montoya explained the purpose of this visit is to provide technical assistance on Covid-19 protocols due to unavailability of the administrator to assist the department via zoom visit. Martz explained she is busy assisting her four facilities today but she will cancel her errands and will assist LPA Montoya. Based on the assessment and interview with the administrator and staff, the facility has five residents. Two residents were tested positive on 11/25/2021 and the other three residents were tested positive on 11/26/2021. Staff (S1 & S2) were tested negative for consecutive two weeks since the Covid-19 outbreak commenced in the facility. Martz stated S1 & S2 will continue to test for Covid-19 for another week as instructed by the Department of Public Health. Per LPA's review of the personnel report, there are seven (7) staff on the list including the administrator. Martz explained only S1 & S2 have been working since the Covid-19 outbreak at their own discretion. Martz explained she reported the outbreak to the Department of Public Health on 12/1/2021 and not to CCLD. Per record review, CCLD conducted an intake of the Covid-19 outbreak on 12/2/2021 with the administrator. During today's visit, LPA was properly screened for COVID-19 symptoms and temperature was checked. LPA observed a sanitizing station at the facility entrance; visitors log with COVID-19 screening and temperature log, and records of daily COVID-19 screening and temperature checks of residents and staff; vaccination records of staff and residents are kept in the facility; soap, paper and cleaning supplies were ample; and Covid-19 posters were observed. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), a deficiency was observed and is being issued a citation on LIC 809-D. Exit interview was conducted with Administrator, Laura Martz. Due to a technical difficulty, LPA was not able to provide a hard copy of the report after the visit but an electronic copy was emailed to Administrator Martz, Appeal rights were provided.