Office review·January 20, 2022

An informal conference was held via Microsoft Teams on 1/20/2022. The purpose of this informal meeting was to discuss the facility staffing issues. Present in the meeting were: Licensing Program Analyst (LPA) Jose Villalobos, Regional Manager (RM), Facility Administrator Sophia Chan and Wellness Director Brooke Lamaonte. Licensing was informed that on 1/15/22, there were staffing shortages in the facility that led to there being only 1 med tech/ care giving staff for all residents of the facility. Sophia and Brooke explained that it was a one time incident due to miscommunication between staff and staff testing positive for covid-19 that coverage was not done at a timely matter. The facility did acquire more staff to cover shifts. Sophia and Brooke explained that the facility has recently opened a new position focused on showering residents that would serve as an additional caregiver staff when needed in order to be more prepared. Licensing informed Sophia and Brooke that they are able to reach out to Licensing regarding staffing issues. LPA to forward the following PINS for administrator to review: PIN 22-04 ASC PIN on 21-32.1 ASC Community Care Licensing (CCL) reminded Administrator that Department of Public Health Guidelines must be followed as well CCL's regulations to remain in compliance otherwise citations may be warranted. No deficiency was issued during today's meeting. An exit interview was conducted and a copy of this report was emailed to Administrator for signature.