complaint·December 10, 2021

The Pasadena Public Health Nurse confirmed that the facility failed to submit completed lab reports for twice weekly testing for unvaccinated employees from 9/18/21-11/29/21 and unvaccinated residents from 10/21/21-11/19/21. According to Executive Director (ED) Taliaferro, he acknowledged the test results were not submitted on time weekly for all unvaccinated individuals of the facility for some of the weeks during the months of September to November. He understood the PPHD COVID-19 requirements of testing unvaccinated staff twice a week and unvaccinated residents once per week. He acknowledges the importance of following the guidelines to ensure the health and safety of the residents as well as staff. Per ED Taliaferro, he has delegated a team of staff to prevent this oversight and to ensure the weekly reports for unvaccinated individuals are submitted to PPHD every Monday by 12pm. The Wellness Director also indicated that the required weekly reports for the unvaccinated individuals were not submitted timely to PPHD for about a month, but stated the weekly reports are now being turned in on time. Based on interviews conducted, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6 and Chapter 8), are being cited on the attached LIC 9099D. An exit interview was conducted. A copy of this report, LIC9099D, and appeal rights were provided to the Executive Director.