Complaint Investigation Report

LPA Marrufo reviewed the facility files and observed that Administrator has not submitted an LIC808 Mitigation Plan to the Department.

During visit, LPA Marrufo toured the facility and observed that there was a quarantine room set up at the facility. Staff S1 and Administrator stated that the room was put in place for two other residents who had become positive with COVID after R1 had become positive. The facility also had a bathroom for COVID positive residents only.

An Advisory Note was issued. See LIC9102 for more information.

Based on records review, interviews and observations there is preponderance of evidence to prove the alleged violation did occur; therefore, the allegation is substantiated.

See 9099-D for the deficiency cited per the California Code of Regulations, Title 22.

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