complaint·June 23, 2023

The investigation revealed the following. Regarding Allegation: Staff are not following proper COVID-19 mitigation guidance- It is alleged facility staff is not taking appropriate measures to isolate symptomatic residents and staff. LPA Ramirez did not observe signage at entrance of community that limits visitors to essential personnel only as stated in facility mitigation plan. LPA Ramirez and Pasadena Department of Public Health observed facility dining room to be fully open. Per facility mitigation plan, Responding to an Outbreak: Quarantine when greater than 10% of the Resident population becomes ill, or as directed to do so by local and/or state health departments. Close the dining room, bistro, activities, and any other group activities to prevent transmission of illness. The quarantine can be lifted after 48 hours of no new reported illness, or as directed by local or state health departments. LPA Ramirez observed several signs throughout the facility advertising in person social events that were taking place on 6-23-23 at various times and locations throughout the facility. LPA Ramirez observed six (6) kitchen staff not wearing masks while working in kitchen area and while serving residents in dining area. At 10: 15 am, LPA Ramirez observed S2 inside lobby entrance, not wearing a face mask, welcoming two outside vendors into the facility. Pasadena Department of Public Health had to remind S2 to wear a mask due to ongoing outbreak status. During tour, LPA Ramirez observed S1 exiting R5’s room which had signage indicating “STOP DROPLET PRECAUTIOUS”. S1 was observed not wearing gloves and was still wearing mask after exiting R5’s room. LPA Ramirez did not observe S1 was hands or sanitize hands immediately after exiting R5’s room. LPA Ramirez observed four (4) COVID-19 positive resident carts that were stationed outside the residents’ rooms to not have required alcohol-based hand sanitizer, per facility mitigation plan. Based on interviews and observation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . Exit interview was conducted with Kevin Taliaferro and a copy of this report, 9099-D and appeals rights was provided.