complaint·December 27, 2023

LPA interviewed Seven (7) out of Seventy (70) residents in person. LPA interviewed Seven (7) out of Seventy-One (71) staff in person. LPA interviewed Seven (7) out of Seventy (70) residents in person that could not confirm the date when they were advised of COVID-19 present at the facility. LPA confirmed with the Administrator that the facility reported COVID-19 cases on 12/22/2023 to CCLD. Per interview with the Administrator, there was no need to report cases to CCLD due to no outbreak. LPA confirmed with the Administrator that as of 12/21/2023 there has been only Seven (7) total positive cases active out of the Nineteenth (19) residents that were positive at the facility. LPA confirmed with the Administrator that as of 12/27/23 there were Seven (7) quarantine. Per the Administrator the precaution or quarantine guidelines are that after the 6 th day if a person does not show fever (symptoms) they, the person who was positive may come outside of quarantine, however, must be masked for Ten (10) days per guidelines. LPA confirmed with the Administrator that there are Twenty-Two (22) out of Seventy-One (71) staff member currently working at the time of visit. The investigation revealed the following: Facility is not reporting a COVID-19 outbreak as required. Based on observation, interview, and record review, the licensee did not comply with the section cited above. At 10:00 AM LPA observed the facility did not report COVID-19 outbreak as required, which poses/posed a potential health, safety or personal rights risk to persons in care. LPA attempted to interview on 12/22/2023 all positive residents and LPA was provided three (3) out of the total positive cases to interview from the Administrator, however, due to safety concerns LPA felt he could not maintain a suitable conversation (illness). LPA interviewed Seven (7) out of Seventy (70) residents and all Seven (7) residents stated they were notified. LPA and interviewed Seven (7) out of Seventy-One (71) staff members who stated they informed the Administrator of any positive cases. LPA requested by phone and in person Mitigation Plan Report from the Administrator, for purpose of record. LPA has also observed the facility tracking system (excel sheet) and entryway COVID-19 surveillance testing for every person entering the facility. LPA observed staff members provide N95s to be used when entering the facility. LPA reviewed the Administrator tracking system dated with results of “Symptom Start Date: 11/18/2023; 11/23/2023; 12/17/2023; 12/17/2023; 12/17/2023; 12/17/2023; 12/18/2023; 12/19/2023; 12/19/2023; 12/19/2023; 12/19/2023 and 12/22/2023.” LPA has observed and discussed PIN 20-48-ASC Coronavirus Disease 2019 (COVID-19) Mitigation Plan Report and Training with the Administrator. EVALUATION REPORT CONTINUES ON LIC 9099-C Additionally, LPA is citing the following regulation: Title 22, Division 6, Chapter 8, Article 04., Operating Requirements, 87211 Reporting Requirements which states “Occurrences, such as epidemic outbreaks, poisonings, catastrophes or major accidents which threaten the welfare, safety or health of residents, personnel or visitors, shall be reported within 24 hours…” “…to the licensing agency and to the local health officer when appropriate.” Regarding the allegation: “ Facility is not reporting a COVID-19 outbreak as required .” Based on LPA’s observations, interviews and record reviews, the preponderance of evidence standard has been met therefore the above allegation is found to be substantiated. California Code of Regulations, Tittle 22 are being cited were assessed please see LIC 9099D. An exit interview was conducted, Plans of Corrections were reviewed and developed with the Licensee. A copy of this report and appeal rights were discussed and left with the Administrator Judith Uy-Villaruz whose signature on this form confirm receipt of these documents.