Follow-up on corrections·November 18, 2020

On 11/18/20 Licensing Program Analyst (LPA) Ryker Heberle and Program Clinical Consultant (PCC) Helen Shi conducted a case management tele-visit via Facetime to follow up on the readmission of a resident (R1) following a month long absence. LPA and PCC met with facility Executive Director Brisa Romero (Admin). Admin indicated to The Department that the last time R1 was tested for COVID-19 was on 10/23/2020. R1 returned to the facility on 11/17/2020. Admin gave The Department a tour of the isolation area. Isolation area was located across the hall from the communal dining area. Isolation area was observed to not have covered trash receptacles located outside of resident rooms. Isolation area did not have a doffing and donning station for PPE. Rooms adjacent to R1's room were observed to be empty. R1's isolation room has its own bathroom. Upon entry into room, The Department observed R1 being assisted by facility staff. Facility staff member was noted to not be wearing full PPE, only a mask, gloves, and face shield. Deficiencies were observed and cited under Title 22, Division 6, Chapter 8. See LIC 809D for the deficiencies cited. A civil penalty of $250.00 is being assessed for repeat violation under the same Personal Rights regulation Sec. 87468.1(a)(2) issued on 10/28/20. This report and the appeal rights were discussed with Executive Director Brisa Romero.