Health inspection·April 11, 2025

F 0882 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Based on interview and record review, the facility failed to ensure, they had designated an infection preventionist (IP) that had completed the specialized training in infection prevention and control when the facility did not have an IP with a completion certificate of infection prevention and control training. This failure had the potential for the facility programs and activities to prevent and control infections, not properly implemented that could affect the forty-eight residents currently residing in the facility. Findings: During the interview with the interim director of nursing (IDON) on 2/11/25 at 3:20 p.m., IDON acknowledged that the facility did not have an infection preventionist (IP) right now that had a certificate of infection prevention and control training or had completed the training. During the interview with the director of staff development (DSD) on 2/11/25 at 3:35 p.m., DSD also verified that the facility did not have an IP right now that had a certificate of infection prevention and control training or had completed the training. During an interview with the former administrator (FADM), on 2/24/25 at 10:25 a.m., he acknowledged that their IP now, did not have the certificate of infection prevention and control training yet and still had to complete the training. During an interview with the current designated infection preventionist (CDIP) on 3/13/25 at 4:06 p.m., CDIP verified that she did not have a certificate yet of infection prevention and control training and still had to complete the training. CDIP stated that she will finish the training as soon as possible. Review of the facility's report provided by the current acting administrator (CAADM) on 4/2/25 at 4:04 p.m. indicated, that the facility did not have an IP that had a certificate of infection prevention and control training or had completed the training since 2/1/2025. During the interview with the IDON on 4/10/25 at 3:40 p.m., IDON acknowledged that the CDIP started working at the facility last November, 2024 as DSD and then worked as the facility's infection preventionist last 2/1/25. Review of the facility's policy and procedure titled, Infection Prevention and Control Program Page 1 of 2 055356 055356 04/11/2025 Oceanview Post Acute 200 Lighthouse Avenue Pacific Grove, CA 93950

F 0882 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few revised October 2018, indicated, An infection prevention and control program (IPCP), is established and maintained to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections The infection prevention and control program is coordinated and overseen by an infection prevention specialist (infection preventionist) Review of the All Facilities Letter (AFL, a letter from the Center for Health Care Quality, Licensing and Certification Program to health facilities that are licensed or certified) 20-84 of the Health and Human Services Agency, California Department of Public Health (CDPH), titled, CDPH Recommendations for Infection Prevention and Control: Training and Continuing Education, dated November 4, 2020 indicated, It is important that each skilled nursing facility's IP have training in fundamental infection prevention and control principles to effectively perform the IP duties. Ongoing education is necessary to remain aware of new information, trends, best practices, and to refresh existing knowledge. The designated IP, who is an existing skilled nursing facility employee and was designated to the IP role, must complete their initial IP training within 30 calendar days of designation 055356 Page 2 of 2