COVID-19 check·April 2, 2021

Licensing Program Analyst (LPA) Yatfai Eric Ng conducted an unannounced tele- Case Management - COVID-19 . LPA virtually met with the Executive Director (ED) Lola Bullock. On 10/06/2020, The Department issued a Provider Information Notices (PINS) PIN 20-38-ASC UPDATED GUIDANCE ON CORONAVIRUS DISEASE 2019 (COVID-19) AND STATEWIDE WAIVER RELATED TO VISITATION. The PIN stated facilities without COVID-19 case "should conduct surveillance testing of 25 percent of all staff every 7 days (e.g., choose different staff to test every 7 days). The purpose of a surveillance testing strategy is to monitor the spread of the virus in order to isolate the virus and mitigate outbreaks." On 03/24/2021, it came to the Department's attention that the facility was testing staff only who did not receive COVID-19 vaccination. On 03/26/2021 and 03/29/2021, LPA contacted different staff from the facility and confirmed the allegation. Thus, it was confirmed that the facility was not following the guidance from the Department. A deficiency was cited today as per California Code, Health and Safety Code. See 809-D for more information. Failure to correct the deficiencies may result in civil penalties. This report was reviewed with ED, and a copy was emailed to obtain a signature.