Complaint Investigation Report
Census5
Date signed09/23/2022 11:49:40 AM
Interviews with the Administrator and S1 confirmed that sometime, around July 2022, a random visit was made by a credible witness who observed facility staff were not wearing masks. Administrator admitted that a verbal conversation with the credible witness took place on 08/18/22 and a staff meeting regarding COVID protocols was held on 08/19/22. Based on an interview conducted with the Administrator and LPA observation this allegation is substantiated at this time.
Deficiencies were issued per CA code of Regulations Title 22 on LIC9099-D with this report. Appeal rights issued. Report signed and delivered. Exit interview conducted.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction