Facility Evaluation Report

Licensing Program Analyst (LPA) David Marrufo arrived at the facility to conduct a complaint investigation and met with Administrator David Hahklottube.

During visit, Administrator Hahklottube stated that the facility had 2 cases of COVID amongst residents and 2 cases of COVID amongs staff. He stated the first COVID case occurred on 05/21/2022 and the next cases occurred on 05/21/2022, 05/21/2022, 05/22/2022, and 05/23/2022. He stated the cases have not been reported in writing to the Department.

A deficiency was cited as per California Code of Regulations, Title 22. See LIC809-D for more information.

This report was reviewed with Administrator Hahklotubbe and a copy of the report and appeal rights were provided.