Facility Evaluation Report
On 2/11/22 at 12:50 PM, LPAs Jill Clancy-Czuleger and Lizette Francisco arrived unannounced to conduct a case management visit pertaining to information obtained by LPA A. Delmundo from the visit on 2/9/22. LPAs met with the Administrator and explained the purpose of the visit.
On 2/9/22, LPA A. Delmundo was informed that the facility had an outbreak of Covid-19 on 1/6/22. Based on record review and interview with Administrator on 2/11/22, no incident report was submitted to CCLD. Administrator confirmed that no call was made to licensing. During an interview with Administrator it was revealed that the facility is not meeting the weekly Covid-19 testing requirement for unvaccinated staff.
LPAs advised Administrator to maintain a medical exemption record for unvaccinated staff.
The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies by POC date may result in additional Civil Penalties.
Exit interview conducted. Appeal rights and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction