complaint·September 21, 2022

On 12/21/21 at 2:15 pm, credible Witnesses #1 (W1) and #2 (W2) say they were not screened for COVID-19 upon entry to the facility. They state staff did not perform temperature checks or any other screening method upon entry to the facility. During the visit, they observed two caregivers wearing masks that did not cover their noses. One caregiver's mask did not cover their mouth while they were giving care to residents. On 1/3/22 at 2:02 pm, LPA visited the facility and upon entry was not screened for COVID-19. LPA requested that staff conduct screening upon which staff then took LPA’s temperature and asked LPA to sign the visitor log. LPA took photos of the visitor log and observed that staff and visitors are signing in, however, LPA and credible witnesses were not screened during their visits on 12/21/21 and 1/3/22. Based on the evidence obtained, the allegations “COVID-19 screening protocols are not being followed,” and “Covid-19 masking protocols are not being followed,” are deemed Substantiated at this time. The facility did not protect the personal rights of residents in care to be able to receive safe and healthful accommodations in that the facility staff failed to wear face coverings properly while providing care and supervision to residents in care and did not screen visitors for COVID-19. This is a violation of official government orders requiring the wearing of face coverings while working under specified conditions. Pursuant to Title 22, California Code of Regulations, the deficiency will be cited on 9099-D. Exit interview conducted, deficiency cited, and the report and appeal rights emailed to Licensee. On 9/21/22 between 1:28 pm and 2:07 pm, LPA interviewed Staff #1 (S1), Staff #2 (S2), and Staff #3 (S3). All three staff say that food is not left on the counter and specifically mentioned that they do not do this due to the fact residents sometimes enter the kitchen and take food. Staff describe the process of thawing food as moving frozen food from the freezer to the refrigerator and placing it in a tray. Staff say when they’re ready to use it, they remove the thawed food from the refrigerator. At 2:14 pm, LPA observed a tray of pork chops in the refrigerator. At 2:26 pm, LPA observed S3 preparing dinner. S3 took the pork chops from the refrigerator, prepared them in a separate dish, and immediately placed them in the oven. Based on the evidence obtained, the allegation, “Food safety protocols are not being followed,” is deemed Unsubstantiated at this time. LPA observations and staff interviews indicate food is being stored properly. On the allegation, “Sufficient quantity and/or quality of food not available for the residents in care,” the complainant was concerned that there was no fresh fruit in the facility. To investigate the allegation, LPA made observations, took photos, and reviewed records. On 1/03/22 at 2:07 pm, LPA toured the kitchen and observed the following: There was a basket of nine mandarin oranges on the counter, twelve cans of fruit and one banana in the pantry, ten to twelve pears in the refrigerator, a gallon container of orange juice, a 48 ounce jar of prune juice, and a 47 ounce jar of applesauce. On 9/21/22 at 2:15 pm, LPA observed a basket of apples and pears on the counter and in the kitchen open cabinet, two bunches of bananas, a bag of mandarin oranges, a watermelon and cantaloupe. Based on the evidence obtained, the allegation “Sufficient quantity and/or quality of food not available for the residents in care,” is deemed Unsubstantiated at this time. LPA observed a sufficient quantity and quality of produce available in the facility. Exit interview conducted and the report emailed to the licensee.