Complaint Investigation Report

197607079-11-2-2021-28-AS-LHIS-C8SKF5-20211115065119

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1000 CORPORATE CNTR DR. ST 500

This is an official report of an unannounced visit/investigation of a complaint received in our office on

10/28/2021 and conducted by Evaluator Noemi Galarza

COMPLAINT CONTROL NUMBER: 28-AS-20211028100111

Staff are not following COVID 19 screening guidelines.

Licensing Program Analyst (LPA) Galarza conducted an initial complaint visit to investigate the above allegation. The purpose of the visit was discussed with day program staff Michael Castillo. Administrator was explained the purpose of the visit telephonically.

The investigation consisted of the following: A physical plant tour of the facility was conducted to check for COVID-19 visitor screening procedures, infection control practices, and posted signs. Staff (S1- S5) were interviewed. None of the clients were interviewed due to non-verbal ability and cognitive impairments. LPA requested a copy of the COVID-19 Mitigation Plan, staff and resident rosters; but they were not available. Administrator will submit all documents by tomorrow. Per interviews conducted the findings indicate that on 10/13/2021 a visitor conducted an unannounced visit and was not for screened by staff for COVID-19 virus. During today's visit LPA was not screened upon entry. Staff interviews confirmed that staff did not screen the visitor and were subsequently retrained on infection control. Per facility COVID-19 Mitigation Plan staff are to screen all visitors upon entry and shall require all visitors to use a face mask. A deficiency was cited.

Exit interview was conducted with staff Micheal Castillo. A copy of the report and appeal rights were provided.