complaint·March 11, 2025

The investigation revealed the following. Regarding Allegation : Staff are not following proper infection control practices at the facility – It is alleged facility staff did not follow infection control practices during an active infectious outbreak beginning on 2/23/2025. On 02/23/2025, facility staff reported to this licensing agency and to The California Department of Public Health (CDPH), that the facility had five (5) residents that had tested positive for COVID-19. Staff interviews revealed that on 02/24/2025, CDPH placed the facility on surveillance due to an active epidemic outbreak of COVID-19. On 02/27/2025, CDPH recommended the facility suspended communal dining and activities during an outbreak. Staff interviews conducted by LPA Ramirez revealed, communal dining was not suspended but residents that tested positive, self-isolated. According to the facility’s Coronavirus/COVID-19 Preparedness and Response Plan, I. “Upon widespread market-based transmission or suspected exposure within the community the following quarantine interventions will be followed: 5. Meals will be delivered to apartments, in accordance with Culinary Virus Protocol procedures.” On 03/04/2025, CDPH issued a violation for “ COVID-19 Employees Face Cover Required”. County of Los Angeles Official Inspection Report dated 03/04/2025, revealed multiple staff were observed to be unmasked while walking indoors in common areas. According to the facility’s Coronavirus/COVID-19 Preparedness and Response Plan, I. “Upon widespread market-based transmission or suspected exposure within the community the following quarantine interventions will be followed: 2. All team members will wear med-surg masks within the community.” According to the facility’s Coronavirus/COVID-19 Preparedness and Response Plan, Steps of Community Reopening Plan, Step 1 : Reopen the salon and indoor visits if: Request letter to the county has been submitted and no obligations have been raised and there have been no positive COVID residents or staff at the community for at least the past 14 days. There are no residents or staff suspected with COVID-19. Step 2 : Resume limited communal dining and small group activities if 14 days have passed since Step began and there have been no positive COVID residents or staff and there are no residents or staff suspected with COVID-19. Staff interviews revealed, the last resident or staff to test positive for COVID-19 was on 02/26/2026. On 03/11/2025, LPA Ramirez observed several residents utilizing the dining room for activities and dining, even though the facility is in an active epidemic outbreak. Based on interviews, observations, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated . One (1) type A violation was cited during this complaint investigation. Exit interview was conducted. A copy of this report, 9099-D and appeals rights was provided.