Facility Evaluation Report

Licensing Program Analyst (LPA) Olson conducted an unannounced Case Management- Deficiencies visit to ensure the quality of care provided based on facility had a COVID-19 outbreak and was told multiple times to report cases timely and submit incident reports. During today’s visit, LPA Olson met with Joanna Enriquez, Administrator and explained the reason for the visit.

On 12/27/22 Administrator informed LPA Olson that multiple residents and a staff have tested positive for COVID. LPA Olson asked by email for the required information on 12/28/22 and again by email on 12/30/22. Administrator didn’t send required information to LPA until 01/02/23. On 01/03/23 LPA Olson emailed Administrator and Wellness Director that Incident Reports were due that day to be considered on time per regulation (87211). The facility didn’t send the resident incident reports until 01/09/23 (6 days late) and Staff Incident reports were received on 01/16/23 (13 days late).

On 01/09/23 LPA Olson sent an email to Wellness Director and Administrator stating again they didn’t follow reporting requirements after receiving another incident report stating a new resident tested positive for COVID on 01/04/23. On 1/18/22 CCL received another incident report stating a new resident tested positive for COVID on 1/10/22 which is both a late incident report (1 day late) and late COVID reporting (7 days late).

Pursuant to Title 22 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D):

A $250 Civil Penalty for a repeat violation was issued.

Exit interview conducted, copy of report, civil penalty and appeal rights were emailed to Administrator.