complaint·September 3, 2025

Interview with the administrator and a director were done. Facility had reached out to the public health; first attempt was done on August 21st. Director stated they had been in contact with a public health Registered Nurse (RN), email provided shows that on Monday August 25th RN provided facility with basic information about the “Noro” (Norovirus). Email provided “specific cleaning suggestions.” LPA interviewed 8 residents in the assisted living side. While speaking with residents, 7 out of 8 stated that there have been no changes to schedules, dining processes, activities, and cleaning schedules. Residents interviewed were participating in bingo, sitting in the common halls, and in the dining room. All residents during discussion stated that this is where they usually sit, eat, or this is the activity they love to do. Allowing the LPA to understand that these common areas are part of their regular schedule. All residents stated none of their activities or day to day schedules have been changed over the past 2 – 3 weeks. LPA interviewed 10 staff, 7 of the staff work in the assisted living areas and 3 work in memory care unit. All staff stated that no changes to schedules have been made. 8 out of 10 staff stated that no changes to cleaning have been initiated, no extra cleaning requested, all stated it has been the same schedule and process as usual for the past 2 weeks. The two staff who stated that cleaning was increased were in the kitchen area and stated that cleaning to chair handrails and tables had increased starting around the 25th through the weekend of the 30th. While the residents and staff did adhere to isolating residents with symptoms, and as of today the illness was contained and only 7 – 9 residents had displayed symptoms, and one tested positive for a contagious disease, based on interviews and provided documents, the facility did not comply with the regulations 87470 Infection Control Requirements “(b) In addition to subsection (a), when one or more residents in the facility are diagnosed with a contagious disease, the following shall apply: (1) In addition to the requirements of subsection (a)(2), assigned staff …regardless of having direct contact with residents, shall be required to perform enhanced environmental cleaning and disinfection to maintain a safe and sanitary environment and to prevent, contain, and mitigate the transmission of the contagious disease.” the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. Copy of report printed along with copy of appeal rights. On the allegation: Facility failed to follow reporting requirements On August 21st at 8:51am the administrator contacted LPA to inform LPA of a possible outbreak, with symptoms of vomiting and diarrhea. The administrator included in correspondence that the county had been called, and he was waiting for a call back. The requirement of reporting possible outbreak to Community Care Licensing was done as required. When a positive test was done on August 27th to show the outbreak was Norovirus, there was only one resident symptomatic, and no additional cases occurred after that. LPA and administrator discussed that any future concerns, the same notification will be made to initiate the concern of a possible outbreak, and communication stating a positive test result has been received will be provided to licensing, even if it is only one case. Based on interviews conducted, and record reviews, at this time the preponderance of evidence standard has not been met; therefore, the above allegation is found to be UNSUBSTANTIATED. Exit interview conducted and copy of report provided to administrator.