Complaint Investigation Report

Facility is not adhering to infection control plan:

The allegation is that a home care nurse did not receive a notice of 2 resident and 1 staff with COVID positive in the facility until he/she visited the facility on 2/8/2024, at 9:15AM, and observed 2 staff without wearing masks and were not adhering to infection control plan.

On 2/15/2024, LPA visit the facility and interviewed Administrator (ADM) Amparo Que Garcia. ADM stated resident R1 tested COVID positive on 2/4/2024 and resident R2 tested positive on 2/5/2024. ADM stated R1 and R2 were isolated at their private rooms. ADM stated staff S1 tested negative and S2 tested positive on 2/5/2024. ADM stated S1 only takes care of COVID negative residents and S2 only takes care of COVID positive residents.

ADM stated he/she notified local health department and CCL office. ADM stated he/she notified resident families and affected residents' family doctors. ADM stated he/she encouraged visitors not to visit the facility if not necessary. ADM stated on 2/9/2024, S2 was tested COVID negative and R1 and R2 were tested COVID negative on 2/12/2024.

LPA interviewed staff S1. S1 stated he/she only takes care of COVID negative residents during the facility COVID period.

LPA interviewed staff S2. S2 stated he/she only takes care of COVID positive residents during the facility COVID period. S2 stated he/she was wearing PPE when he/she entered R1 and R2's rooms.

During LPA visit, LPA observed S1, S2 and ADM were wearing masks. LPA observed the COVID screening station with visitor log, mask, and thermometer in the main entrance. LPA checked the facility PPE supplies, and PPE supplies were observed sufficient.

LPA interviewed resident R1. R1 just listened to LPA's questions but was unable to answer LPA's question.

LPA interviewed resident R2. R2 stated facility staff took care of him/her during his/her COVID positive period but was unable to tell the name of the staff.