Facility Evaluation Report

On 7/21/2022 at 11:25 AM, Licensing Program Analyst (LPA) C. Lin arrived unannounced to conduct case management while conducting an initial 10-day complaint investigation. LPA met with staff Kester Orendain, Manager Tessa Cruz arrived at a later time.

Upon entry, LPA learned that there was 1 resident tested Covid-19 positive on 7/19/22 and exhibiting symptoms. LPA observed that the isolation room door was open. Caregiver S1 stated that they let the door open so that they could check on the resident without opening the door each time. All other resident's rooms are opened and residents didn't have mask on. LPA observed there has no set of PPE supplies by the isolation room, and no isolation signs on the door. S1 stated that PPE supplies were by the main door where they were donning and doffing. LPA observed staff did not follow infection control protocol.

The above deficiency was observed (see LIC 809D) and cited from the California Code of Regulations. Failure to correct deficiency by POC date may result in additional Civil Penalties.

Exit interview conducted with Manager. LIC809D, Appeal Rights and a copy of this report provided.