Complaint Investigation Report

it states facility has a visitation plan. Records reviewed by LPA Ramirez included the Provider Information Notice (PIN) number 23-13-ASC dated 06/15/23. Per PIN number 23-13-ASC under Visitation it states that for residents in isolation, the licensee should provide the visitor with the same type of Personal Protective Equipment (PPE) used by facility staff. During the course of the interviews AD stated that recently Resident 1 (R1) who is in isolation had a window visit. Per AD the last thing he knew was that visitors were not allowed into the facility.

Based on the interviews which were conducted and the records that were reviewed, the preponderance of evidence standard has been met, therefore the following allegation: facility is not abiding by Infection Control plan is deemed SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, Chapter 8 is being cited on the attached LIC 9099D.

An exit interview was conducted with AD Adams and a copy of this report along with the Appeal Rights were provided at the time of this visit.