Facility Evaluation Report

LPA Spaeth conducted an announced visit to conduct a investigation of Complaint #31-AS-20230308152917. During LPA's visit, LPA observed caregivers were not wearing a mask. Also, LPA observed two bottles of beer in the refrigerator. LPA explained to caregivers facility staff must wear masks and alcohol beverages cannot be available within the facility.

Upon LPA's arrival, LPA asked for caregivers names to determine if staff has been fingerprinted, cleared and associated to the facility. LPA requested the on duty LPA at the Woodland Hills Regional Office to check within Guardian for confirmation the caregivers have been fingerprinted and cleared. The On duty LPA stated one caregiver had been cleared but the other caregiver's application was incomplete. LPA reminded that anyone working directly with residents must receive clearance prior to their start date. Immediate civil penalty of one hundred dollars ($100) per day has been issued.

The following deficiencies are substantiated. Pursuant to Title 22 Division 6 of the CA Code of Regulations, a deficiency was cited (refer to LIC 809-D).

Exit interview conducted, Appeal Rights discussed, and a copy of the report was issues to Administrator.