complaint·October 31, 2022

Allegation: Facility is not following Covid-19 safety protocols. It is alleged that on September 30, 2022, a visitor observed staff (S1) not wearing face masks, and put a mask on 5 minutes after the visitor entered the facility. Staff (S1) was interviewed and stated it does not remember the incident. Staff (S1) is a live-in staff, and stated that most of the time it wears a mask when working its shift. Administrator/Licensee stated staff are instructed to conduct temperature checks and staff and visitors are required to wear a mask, but it allows staff not to wear a mask if they are not providing direct care to residents, or when they are "far enough" from residents. Administrator stated that all three (3) live-in staff are not required to wear a mask when they are inside their living quarters. Staff (S3 & S4) stated they do not wear a mask when they are in inside the staff rooms. Staff interviews revealed the LA County Department of Public Health mask guidelines are not being followed as required. Per current Los Angeles County Department of Public Health guidelines all staff and visitors must wear masks while working "In congregate care facilities, such as long-term care settings and adult/senior care facilities. Based on interviews conducted and information obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Deficiency is being cited. See LIC 9099D. Exit interview was conducted with Caregiver staff Brian Tria. A copy of the report and appeal rights were provided.