Facility Evaluation Report

Licensing Program Analyst (LPA) Tena Herrera conducted a case management visit in relation to complaint control #28-AS-20240905092935, LPA met with Executive Director Stephanie Funderburg and explained the purpose for visit.

During the complaint investigation for the above referenced complaint number, LPA reviewed documents regarding the recent Covid out break and observed that the facility failed to inform the Department of the Covid outbreak within the 24 hour reporting requirement. LPA reviewed the Daily Covid-19 Report that indicated that 2 residents tested positive on 8/20/24, 1 resident tested positive on 8/23/24, and 1 resident tested positive on 8/24/24, and 2 residents tested positive on 8/25/24. LPA reviewed Special Incident Reports (SIR's) that were sent to the Department for those individuals and observed that the fax transmittal dates were from 8/30/24. Therefore, there were multiple Covid cases that were not reported within the 24 hour reporting requirement for epidemic outbreaks, this will be cited on the LIC809-D.

Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiencies observed during the visit are documented on 809D. Exit interview held and a copy of the report along with appeal rights were provided.