Complaint·September 22, 2022

the facility on 01/13/2022. Facility staff admittedly refused to allow resident to return to the facility as they reported there was no private isolation room available. Hospital staff corroborated that resident was ready to return to the facility on 01/13/2022 and that R1 no longer met the criteria to be hospitalized. After discussion with a licensing program manager, facility staff arranged an isolation room and planned for the return of R1 to the facility on 01/14/2022. The licensee’s violation was in preventing R1’s discharge back to the facility following medical clearance. Licensee did not serve R1 with either a 30-day notice or a 3-day notice to quit as required by law, nor did the licensee have a valid reason to issue an eviction. California Department of Social Services, Community Care Licensing Division (CCLD), Adult and Senior Care Program, Provider Information Notice (PIN) 20-38 ASC, page seven (7) states that, “Licensees who have difficulties with accepting returned residents who are confirmed COVID-19 positive from a hospital or SNF, should immediately contact the Regional Office and local health department before the resident’s return.” Facility staff did not seek guidance on the return of R1 until the issue was elevated by an outside source. Based on observation, interviews with staff and outside sources, and review of records, a preponderance of evidence exists to substantiate the allegation. A deficiency is cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D). A Plan of Correction was discussed and reviewed with Administrator Mari Dee Sandra Cid via telephone. An exit interview was conducted with c aregiver Gil Ortega to whom a copy of this report, the Confidential Names list (LIC811), PIN 20-38, and the Licensee/Appeal Rights (LIC9058 03/22) were provided via hardcopy at the conclusion of the visit. ***This is an amended version of the original report to include signatures.***