Facility Evaluation Report

Licensing Program Analyst Ryker Heberle (LPA) arrived at the facility a approximately 10:30am to open a complaint investigation. Upon arrival at the facility, LPA confirmed with staff on-site that the facility had a COVID positive resident.

LPA called the facility administrator Kien Linh (Admin) to collect more information on COVID positives at the facility. Admin confirmed that 3 staff (including himself) and 1 resident were COVID positive at the facility. Admin stated that the facility had it's first case of COVID positivity on 01/05/2022.

LPA asked Admin whether or not the COVID positives were reported to licensing, Admin stated that when sending out the mass email to SARC and resident family members, that he forgot to CC licensing on the email. An unusual incident report was not submitted within 24 hours of first confirmed positive.

Deficiency cited. See 809-D for details. Admin was not present at the facility to sign the report. During phone conversation, LPA confirmed with Admin that staff member Andy Linh was permitted to sign the report in the Administrators stead. Report was reviewed with staff member Andy Linh and a copy of this report was provided.