Complaint·February 17, 2022

It is alleged that facility failed to properly screen visitors for Covid-19 On 2/17/22 LPA interviewed Bells Naygas regarding the allegation and she stated they do not have visitors except for doctors, nurses and licensing. She stated when visitors sign they check their temperatures. Administrator also stated they do not screen visitors and do not ask screening questions. On 2/17/22, LPA conducted interviewed staff #2-4 and they stated do not ask screening questions and have not observed other staff asking questions. LPA interviewed residents #1-7, they stated staff doesn't take there temperatures when they enter from outside the facility. When LPA and LPM arrived at the facility, they did check our temperature but did not observe any hand sanitizer , mask or screen log in place and there is not designated staff in charge of screening visitors. B ased on LPAs observation the facility failed to comply with covid-19 procedure as identified Pin 21-38-ASC. and Pin 22-07-ASC. Regarding allegation: Facility is in disrepair. On 2/17/22, LPA conducted interview the Administrator, she stated the elevator has not been in operation since 8/2021 due to not having a part. She stated Non-Ambulatory residents have been moved to the first floor for accommodations. She stated the elevator will be working on 2/21/22. LPA conducted interviews with staff #2-4. Staff stated the elevator has been down for a while. Staff also stated they have not noticed any residents on the 2 nd floor having difficulty going down the stairs due to the elevator not working. on 2/17/22, LPA interview residents #1-7 and they stated the elevator has not been working since 08/2021. Resident #7 stated they heard someone had fell down the stairs a few months ago. On 2/17/22, LPA obtained elevator repair receipts. Based on LPAs observation the facility failed to comply with the operations of the elevator. 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 9099-D. It is alleged that facility is not clean. On 2/17/22, LPA interviewed the administrator and she stated facility is deep clean once a week and spot cleaned daily. She stated no residents had any concerns. LPA interview staff #2-4, all residents stated the facility is deep clean once a week and spot cleaned daily. LPA Interview residents #1-7 and all residents stated the facility is deep clean once a week and spot cleaned daily. LPA/LPM walked through the facility and there was no trash left out and the facility was clean. 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. Exit interview was conducted and a hard copy was provided via email for signature.