Complaint Investigation Report

Allegation: Staff did not follow proper COVID-19 control protocols

During investigation, the department conducted interviews of staff (ED, S1) and reviewed facility’s spot COVID-19 line list report which showed COVID-19 positive residents and staff from 07/24/24 until 08/28/24. Review of the COVID-19 report showed that 4 staff tested positive for COVID-19 on 07/24,07/26, 7/29, 7/30 in Assisted Living and 2 residents in memory care on 08/02 and 08/05. All reported COVID-19 positive staff and residents were isolated until all symptoms were cleared and showed negative test results. On 09/05/24 at 3:30PM, LPA toured the facility with executive director (ED). LPA observed all on duty staff, visitors and some residents wearing face masks, hand sanitizers available for use in common areas. LPA observed facility clean, odor free and in good repair. LPA observed staff follows their COVID-19 infection control plan daily to mitigate the spread of COVID-19. LPA discussed the completed mitigation plan (LIC 808) with ED as well as COVID-19 infection control practices. LPA inspected the facility inside and outside. LPA observed one central entry point has been designated for universal entry screening with the station located near the front entrance with visitor's log, hand sanitizer, gloves, face masks and no touch temperature probe. LPA observed COVID-19 signages posted throughout the facility to promote handwashing, cough/sneeze etiquette and physical distancing. Facility documents daily temperatures and COVID-19 symptom checks for staff, visitors and residents Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged occurred. Therefore, the allegation that staff did not follow proper COVID-19 control protocols is unsubstantiated.