Complaint Investigation Report

197604160-6-7-2022-29-AS-JAPL-CFDTXA-20220614150649

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 21731 VENTURA BLVD. #250

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

06/06/2022 and conducted by Evaluator Ashley Smith

COMPLAINT CONTROL NUMBER: 29-AS-20220606165124

Staff are not following masking protocols to prevent the spread of COVID-19

Licensing Program Analyst (LPA) Ashley Smith arrived unannounced to conduct an initial 10-day visit. The LPA met with staff and explained the reason for the visit. To investigate, the LPA conducted a physical plant tour at 8:30 a.m., and interviewed staff at 8:35 a.m., 9:05 a.m., 9:10 a.m., and 9:17 a.m.

It was alleged that staff in the facility were not wearing masks while in close contact with the residents. Upon arrival to the facility, the three staff on site, including Staff #1 (S1) were wearing masks. Yet information obtained from a credible witness confirmed on 5/10/2022, a credible witness noted that S1 and other staff were not wearing masks while in close proximity of residents. Per conversations with staff, the licensees are conducting an in-service for all the facilities under the licensee's jurisdiction. Based on the investigation, there is sufficient evidence to support the claim that staff were not following masking protocols to prevent the spread of COVID-19. This allegation is deemed Substantiated at this time. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, the following deficiencies were observed and cited during the visit (See 9099-D). Exit interview conducted. A copy of the report was provided.