Follow-up on corrections·August 1, 2022

Licensing Program Analyst (LPA) Amy Domingo and Interim Assistant Program Administrator (IAPA) Icela Estrada conducted a case management visit to discuss a deficiency observed during a complaint investigation visit conducted on August 1, 2022. Upon entry, LPA and IAPA identified themselves to the receptionist and met with and discussed the purpose of the visit with Executive Director (ED) David Armour. During a complaint investigation visit, IAPA observed four staff wearing a face mask only covering their mouth and five staff to include Staff 1 and Staff 2 (S2) not wearing a face mask. During the visit, IAPA discussed the importance of employees wearing face masks while in the facility with the Executive Director. Later during the visit, IAPA and ED observed S2 not wearing a mask once again and she was asked to put on her mask. During the tour of the memory care unit, IAPA observed two staff wearing a face mask only covering their mouth subsequently both staff adjusted their mask. During the period of July 17, 2022 and August 1, 2022, the facility had approximately 28 residents in the facility with active COVID-19 diagnoses. Due to the outbreak, on July 28, 2022, the RO conducted an on-site visit with the County of San Diego Healthcare Associated Infection (HAI) team to provide technical assistance and to evaluate the facility's COVID-19 screening, testing, and disinfection processes and staff’s use of personal protective equipment (PPE). During the HAI assessment, Executive Director David Armour and Resident Services Director, Jessica Mallory were present and no deficiencies were cited during the visit. The ED was provided with Confidential Names List (LIC 811) to identify Staff 1 and Staff 2. During today’s visit, a deficiency was cited per California Code of Regulations, Title 22 on the attached Deficiency page (LIC 9099-D). An exit interview was conducted with Executive Director David Armour which included developing a plan of correction for the deficiency. A copy of this report, LIC 809, LIC 809-D, LIC 811, and the Licensee/Appeal Rights (LIC 9058 01/16) were provided at the conclusion of the visit.