complaint·March 10, 2023

(5) of (6) residents interviewed could not corroborate the allegation. Interviews show that residents who tested positive for covid 19 were isolated in their rooms as there were no currently available isolation rooms to quarantine in. Interviews with S1 stated that contact with LA County Response team initially advised the facility not to move residents into different zones. It was not until 1/3/23 that the facility was contacted by Department of Health Nurse and an outbreak was declared. Facility was then advised to separate residents into red and green zones. LPA reviewed site visit from Department of Health dated 1/5/23 stated that they observed the facility to be using proper zoning strategy. Based on interviews and files reviewed; although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are unsubstantiated. In regards to the allegation "Facility did not notify residents of covid outbreak in a timely manner" it was alleged that the facility failed to notify all residents of covid outbreak in the facility. (5) of (5) staff interviewed denied the allegation. (5) of (6) residents interviewed could not corroborate the allegation. Interviews show that the facility notified each individual and their responsible parties when the said individual would test positive. Other residents were not informed of who was positive as to not violate personal rights. Review of documentation shows that the outbreak was not declared until 1/3/23 by the Department of Public Health. Interviews show that required postings were place on the outer doors coming into the facility and around the building to notify residents and staff of the outbreak. on 1/25/23 during the initial visit, LPA observed covid 19 required postings on the main entrance to the facility as well as staff following covid 19 guidelines. Based on interviews and files reviewed; although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are unsubstantiated. Exit interview conducted and a copy of this report was provided. (5) of (5) staff interviewed denied the allegations. (5) of (6) residents could not corroborate the allegation. File review of facility documents shows that there was an outbreak of covid positives in the facility starting in December 2022. The outbreak was declared on 1/3/23 by the Department of Public Health. LPA observed that (3) staff and (1) resident had initial positives dating back to 12/8/22, but were not reported to Licensing until 12/20/22. This shows that the facility failed to notify Licensing of covid positives in a timely manner. Based on LPA's interviews and records reviewed, the preponderance of evidence standard has been met, therefore the allegation is found SUBSTANTIATED. California Code of Regulations Title 22, Division 6, Chapter 8 is being cited on the attached LIC 9099D. Exit interview held and a copy of the report and appeal rights was provided and discussed.