Follow-up on corrections·September 16, 2022

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced case management visit to issue deficiencies discovered during the investigation of 29-AS-20220627170949. On 7/5/2022, LPA conducted a visit to the facility. LPA observed the Administrator on record was on leave and the Interim Administrator was on vacation. LPA observed no designated substitute placed in charge at the time the visit was conducted, although LPA learned there was coverage the week before. Previously, Amanda North, Executive Director/Operations Specialist had covered, and LPA requested documents. North stated in an email to the LPA on 7/5/2022 at 5:10pm that she was only filling in for a brief period and the point of contact would be the Interim Administrator (who was on vacation). On 7/5/2022, Administrator on record notified LPA their last day at the facility was on 7/19/2022. Administrator Allamary Moore had been on leave since 10/1/2021. On 1/19/2022, LPA requested documents naming the new administrator. On 1/19/2022, Interim Administrator Miriam Santiago provided partial documents required to name Santiago as the new administrator. On 1/19/2022, at 1:57 pm, Santiago sent a request via email to Marleen Nelson, Director of Regulatory Compliance requesting the required documents to name Santiago as an Interim Administrator and/or Administrator. On 7/18/2022, Santiago sent an email to Brian Perine, Regional Operations Director and Kelly Hatter, Vice-President of Operations, Etros Management Company requesting the required documents to name Santiago as an Interim Administrator and/or Administrator. On 9/16/2022, Santiago stated she sent an email to Mandy Taylor, LVN, Regional Director of Operations, Pacifica Senior Living, Inc. On this day, at approximately 11:09 am, LPA observed Staff 1 (S1) wearing a face mask partially covering their face. LPA observed S1 enter the medication room where S1 pulled the mask over their face properly covering S1's nose and mouth. At approximately 11:10 am, LPA observed S1 walking down the hallway, observing a resident with S1's mask only partially on S1's face, not covering the nose area. Please continue to 809-C, Pg 2. At approximately 11:11 am, LPA observed Staff 2 (S2) assisting a resident in the common area with S2's mask only partially covering S2's face, not covering the nose area. LPA requested Interim Administrator Santiago to instruct S2 on properly wearing the mask covering nose and mouth. Santiago complied with LPA's request. Pursuant to Title 22, California Code of Regulations, the following deficiencies are cited (refer to LIC 809-D). Exit interview conducted. Copy of report and appeal rights issued via email.