complaint·August 22, 2023

It is alleged, on 9/30/22 a witness observed a caregiver not wearing a mask or put a mask during the visit or while providing care to the residents. Staff did not screen representative for symptoms or have a sign-in procedure. Interviews with residents revealed, 1 out of 6 residents stated staff wears mask when providing direct care. 5 out of 6 residents were unable to answer due to cognitive skills. Interviews with staff revealed 2 out of 2 staff stated to wear a face mask while providing care. On 11/3/22 LPA Flores arrived at the facility at 9:10am and was allowed entry to the facility without being screen by S1. S1 was wearing a surgical mask under their chin, not covering the mouth or nose throughout the visit. LPA conducted a tour of the facility with S2, observed screening area to the right-hand side of entry door with visitor's log, hand sanitizer, and surgical mask, signs are posted by the entry area for symptoms, proper hand washing, and check for symptoms signs. PPE supplies were observed. at 9:40-10:00am LPA was requested to sign-in the visitor's log and staff roster, caregiver schedules, and staff files for review, which were not available at the facility for review. Documents were not available for review. LPA requested documents be email. On 1/3/23 LPA followed up via email requesting documents, documents were not provided to LPA. Per PIN 23-07 ASC, the masking requirements came to an end on March 3, 2023. Therefore, staff were required to properly use a face mask while at the facility. PIN 22-28 ASC Screening Protocols are to designate a facility staff to conduct initial screening for COVID 19 symptoms of all individuals entering the facility. During the visit of 11/3/22 LPA did not get screen by staff prior to entering the facility. Based on LPAs observations and interviews which were conducted record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED . California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D. Exit interview was conducted and a copy of this report was provided, LIC 9099D, and appeal rights were provided.