complaint·January 30, 2024

Investigation revealed the following: regarding allegations, Facility is not complying with Covid-19 regulations by requiring staff to return to work 3-5 days after testing positive for Covid. It is alleged that Administrator Kevin want the staff back within 3 days after testing positive for COVID 19. Interviews with ten (10) residents revealed the facility follows and will follow protocols in place regarding COVID 19. Interviews with seven(7) staff reveals that during COVID 19 onset the staff will quarantine for 5 days on the sixth day will return to work if tests results shown are negative COVID 19, if test result are positive then staff will continue to quarantine for 10 days. As per Administrator and Wellness Director all staff whom tested positive needed to present letter of clearance before returning to work. Daily logs reviewed for dates December 2021 to January 2022 all staff whom tested positive were reported to Pasadena Public Health. Per Pasadena Public Health. Based upon record review and interviews conducted the findings indicate that, although the allegation(s) may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is Unsubstantiated. Regarding the allegation: Administrator is opening dining room to residents even though facility has a Covid outbreak. It is alleged that Administrator Kevin wants to open the dinning room during COVID 19 outbreak. Interviews with ten (10) residents revealed six (6) residents stated that the dining rooms was closed during COVID 19 outbreaks and that meals were served in their rooms, 4(four) residents are unsure of the protocols but feel comfortable the dining room will be closed if an outbreak were to occur. Interviews with seven (7) staff reveals the during outbreak protocols were put into action. Two residents per table were allowed, social distancing rules were applied, residents whom were ill received meals in their rooms. Per Pasadena Public Health guidelines, it was recommended that tables be sanitized after each use, clean and sanitize common areas frequently. Based upon record review and interviews conducted the findings indicate that, although the allegation(s) may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is Unsubstantiated. Exit interview held and a copy of the report and appeal rights was provided.