Facility Evaluation Report

While at the facility investigating complaint (Complaint Control # 15-AS-20220202085410), Licensing Program Analyst (LPA) Delmundo learned that staff was tested positive of COVID-19 and report was not made to Community Care Licensing (CCL) and Local Public Health (LPH).

Deficiency is cited from Title 22 California Code of Regulations (see 809D). Failure to submit proof of correction by plan of correction due date may result in civil penalty.

Deficiency and plan and proof of correction were discussed with Ecaterina Tet, licensee-administrator.

Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.