Complaint·December 19, 2024

Interviews with facility staff, revealed no concern for facility not following COVID-19 mitigation plan. Interviews with outside sources also reported no concerns in regards to facility not following COVID protocols. A review of records revealed that facility submitted a COVID-19 mitigation plan to the department on 3/19/2021. Plan states that staff are required to wear facial coverings and all visitors must get their temperature checked upon entering facility. The department conducted a case management visit to the facility on 8/24/2021, where LPA Hamer noted that staff were observed without a mask and staff did not check LPA’s temperature upon arrival. The departments review of the available evidence revealed that the preponderance of evidence standard was met and the allegation was SUBSTANTIATED. A deficiency was cited per Title 22, Division 6, Chapter 8 of the California Code of Regulations and is listed on LIC 9099-D. A plan of corrections was developed with Administrator. An exit interview was conducted with Administrator to whom a copy of this report and Licensee Appeal Rights (9058 01/16) were provided at the conclusion of the visit.