complaint·June 26, 2022

Director of Nursing, Haven Supervisor, S#4 - S#9, and R#1 - R#6, all were in agreement that the facility followed the latest Covid 19 protocols. To ensure that safety of all staff and residents in the facility. They were testing resident's every day and testing staff weekly. The facility had signs posted for the positive residents, they used the red poster. For the residents that where symptomatic and/or in quarantine, they used the yellow poster. For the negative residents, they used the green posters. The residents where all separated from each other depending on their tests and/or symptoms. The positive residents and negative resident where never co-mingled. The facility had 2 rooms designated for positive residents (activity and TV rooms.) The negative residents also had 2 rooms designated for them, (Lounge room and dining room.) The facility had enough PPE's for the staff at all times. The staff would always donning their full PPE's with the Covid Positive residents. When working with the Covid negative residents, they always wore masks and wash their hands. They would un-donning their full PPE's and put new masks on, and wash their hands when leaving the Red Zone and put new mask and wash hand again before entering the green zone. The facility is still in the yellow zone and under Outbreak status with DPH. All residents are out of quarantine, awaiting on DPH to release them from the outbreak status. The DPH performed their own site visit on Friday 05/13/22, they did not have any Covid 19 concern or issues with the facility. The DPH was satisfied with the facility, they were following all their guidelines. LPA found that the facility followed the latest CCLD Covid -19 protocols, from (PIN 22-09- ASC.) The facility followed the following PIN's: PIN 21-43-ASC, Mitigation Plan. The facility was following their mitigation plan and had it posted in the facility. PIN 21-38-ASC-Fit testing, all the staff was fit tested for N95 masks. PIN 21-53 – ASC, Required vaccinations and boosters. All the staff was vaccinated and had booster shots too. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated An exit interview was conducted with, Robert May, Executive Director, and a hard copy of report was provided.