Complaint Investigation Report

496803839-7-20-2022-21-AS-CMAZ-CN82NX-20230118163325

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1450 NEOTOMAS AVENUE, STE. 100

This is an official report of an unannounced visit/investigation of a complaint received in our office on

07/18/2022 and conducted by Evaluator Dina Alviso

COMPLAINT CONTROL NUMBER: 21-AS-20220718080450

Staff do not follow proper COVID mask guidance-staff wearing masks inappropriately

LPA Dina Alviso conducted a complaint inspection, on 7/20/22 at approximately 3:35pm, and met with Administartor Emelita Guzman. LPA observed two other staff/caregivers on duty during the inspection. The LPA was screened upon entry, temperature taken, covid symptom questions asked, and LPA observed that all information was logged.

The LPA observed all three (3) staff on duty wearing masks but one staff (S1) was observed to be wearing a mask that is very large for them, and the mask was observed to be falling repeatedly under their nose, fully exposing their nostrils. The mask does not fit appropriately and does not meet the mandated mask requirements. This deficiency will be cited, 87468.1(a)(2) Personal Rights of Residents in All Facilities-see LIC9099D. Civil Penalty assessed at $250.. Based on LPA's observations during the inspection the allegation of "staff do not follow proper COVID mask guidance-staff wearing masks inappropriately" is substantiated. The preponderance of evidence standard has been met, therefore the allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), is being cited. Appeal Rights Given.