complaint·February 26, 2026

Continued from LIC 9099 Regarding the allegation “Facility failed to report an outbreak to appropriate agencies” it is the Reporting Parties (RPs) concern that the facility failed to notify CCL and VCPH of an ongoing Gastrointestinal diseases (GI)/Norovirus outbreak. It was further reported that several residents and staff were exhibiting symptoms such as vomiting and diarrhea, and the facility was experiencing an outbreak approximately a week before appropriate agencies were involved. During the course of the investigation, LPA interviewed VCPH personnel who confirmed that the facility in fact did not report the outbreak to the agency. Interview conducted with ED revealed that physicians and resident’s responsible parties were informed of the symptoms, isolation measures, and outbreak status at the facility. The ED stated that beginning 02/18/2026, the dining and common areas were closed, in-room tray service was implemented, and all group activities were canceled until the outbreak was contained. The ED further stated that the facility has sufficient staff to care for residents during this outbreak, sufficient Personal Protective Equipment (PPE) and disinfectant supplies and that high-touch areas are being cleaned and disinfected frequently. Interviews with residents and staff revealed that GI symptoms had been circulating in the facility since the first week of February, when multiple residents and staff began experiencing symptoms. Residents reported that written notice of the outbreak was provided on 02/18/2026. Residents further stated that isolation protocols are in place, the dining room is closed, meals are being delivered to their rooms, and activities have been suspended until further notice. A review of the Serious Incident Reports (SIRs) submitted by the facility to CCL reflected that an SIR was submitted on 02/18/2026. The SIR confirmed the presence of an outbreak. Review of the facility’s line list revealed the between 02/05/2026 and 02/21/2026, a total of twenty-six (26) cases involving residents and staff were documented with symptoms of vomiting and diarrhea. Additionally, on 02/08/206, Resident #1 (R1) was hospitalized and upon discharge on 02/11/2026, was diagnosed with Norovirus. Although the facility implemented isolation precautions for symptomatic residents prior to receiving the confirmed diagnosis on 2/12/2026, the facility did not to notify CCL and the local health department within 24 hours of the initial onset of symptoms among residents and staff. Furthermore, the facility did not report the hospitalization of R1 within seven (7) days from the date of occurrence, as required by regulation. Based on the information gathered during the investigation, the department has sufficient evidence to confirm this allegation occurred. Therefore, the allegation of “Facility failed to report an outbreak to appropriate agencies” has been SUBSTANTIATED at this time. Pursuant to Title 22, California Code of Regulations and/or CA Health and Safety Code, the following deficiencies were cited (refer to LIC 809-D.) Administrator was informed that failure to correct the deficiencies may result in civil penalties. Amended report was discussed with administrator telephonically. A copy of the amended report and appeal rights were provided. Continued from LIC 9099-C Third page was intentionally left blank. A hard copy of this page was emailed for signature.