The Kensington Redondo Beach

Type of visit: Required - 1 Year

On 08/16/23, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced annual visit to the facility listed above. LPA met with Executive Director, Robert May, and explained the purpose of today's visit. The facility currently has 119 residents. Physical Plant/Structure The facility is a two-story structure located in a residential neighborhood. The facility has 3 sections within the facility. The assisted Living, Connections, and Haven sections. It consists of (116) bedrooms, (133) bathrooms, shaded courtyard, shaded front yard with water fountain, and trash area in the back of building in the south parking lot. 1st floor; kitchen, staff room, laundry room, dining room, library, 4 restrooms (3 inside building and 1 outside courtyard area, lobby area, reception area, executive office, copy room, hallways, bistro, cinema room (team member desk,) electric room, Director of team support office, Maintenance closet, French dining room, Loggia with fireplace, dining supplies closet, and activity room. 2nd floor: connections and haven sections. Connection section; closet with medical supplies, spa, linens storage, nursing supply storage, cafe, activity room, family room with fireplace and office, trash closet, electrical closet, toxic supplies closet, and patio. Haven section; cafe, activity room with sink, ocean room with balcony and fireplace, laundry room, trash closet, and electrical closet. A medication carts is in all 3 sections. Assisted living on 1st floor and 2nd Floor with salon, and medical offices. All walkways, paths and passageways were clean, clear, and free of debris, hazards, and obstructions. Apartments/Rooms LPA toured apartments which house residents with independent living capabilities and assisted living. They include 1 bedroom, 1 bathroom, living room, kitchenet, and ample storage space for resident’s personal belongings. Residents have the option to furnish apartments with their own furniture. There are furnishings available upon request. Bathrooms Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, showers were free of mold/mildew and had a non-skid mat or chair in place. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. In rooms, the water temperature was measured between 111.6-and 114.4-degrees Fahrenheit. Continued on LIC809-C Kitchen LPA toured the commercial-size kitchen, located on the first floor. All appliances were in good working order. LPA observed an adequate supply of cutleries, pots and pans that were well maintained and in good repair. The kitchen was observed to be within Title 22 regulations. LPA observed a 4-day supply of perishable foods and a 10-day supply of non-perishable foods. All food was properly stored and labeled. All knives and toxins are secured and inaccessible to residents. LPA observed the food service areas and dining rooms, they were found to be clean and have ample seating for all residents. LPA observed a menu posted near the dining room and resident dietary orders posted in the kitchen. LPA observed the bistro to have snacks and drinks available to residents throughout the day. Common Areas The common areas living room, dining rooms, activity room, theater room, private dining room, patio areas and lounges were appropriately furnished allowing spacing by residents. LPA observed books, games, crafts, and activities for residents. An event calendar is posted outside of activity rooms and theater. LPA observed ample lighting in all common spaces. A comfortable temperature was maintained in the facility. Common areas were clean and clear of hazards; doorways were free of obstructions. Safety LPA observed multiple fires extinguishers throughout the community that are fully charged. Fire doors close automatically when alarms are set off. Additionally, there is a sprinkler system throughout the facility that is scheduled to be inspected and serviced on 08/29/23. Last emergency drill was on 08/06/23. All necessary safety postings were observed including emergency numbers, and disaster plan. There is a working landline telephone. LPA inspected the First Aid Kit and found it contains all required items and a manual. The generators are checked and ran weekly. LPA reviewed and received a copy of the Liability Insurance. Infection Control LPA observed facilities infection control procedures, all guests need to check in at the main entrance. All visitors are screened before entry. LPA observed necessary infection control posting in common areas. There are sanitizing stations throughout the facility. Medications LPA reviewed the centrally stored medications for ten (10) residents. LPA observed medications to be in their original packaging. LPA reviewed the Medication Administration Records (MAR) and found that it was consistent with the medications. All medications are secured in the locked medication rooms and are inaccessible to residents. Continued on LIC809-C File Review & Interviews LPA reviewed ten (10) Resident files and found they contained the required documents. LPA reviewed ten (10) staff and Executive Director files and found they contained the required documents, certifications, and training. LPA interviewed seven (7) Residents, and seven out of seven stated they were happy and satisfied with the services they receive here. LPA interviewed ten (10) staff, and all were able to explain policy, procedures, and residents’ personal rights. No deficiencies were cited during today’s visit. LPA Gibbs conducted and exit interview with Executive Director, Robert May, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Aug 16, 2023

Type of visit: Case Management - Incident

LIcensing Program Analyst (LPA) Ana Soto conducted an initial case management visit to the above facility. LPA met with Amy Adam, RN and the purpose of the visit was explained. LPA interviewed RN, R#1 was on many different medication and NP was working with R#1 to minimize and adust medications. R#1 got very aggressive with S#1 and S#1 could not control or calm R#1 down. S#1 was fine did not sustain any injuries. Family member was called and advised of R#1 aggressive behavior and that they would be calling paramedics and Police Department for possible 51/50 hold. Police Officers could not place R#1 on a 5150, because of his mental condition and age. R#1 was taken to Torrance Memorial Medical Center. R#1 never returned to facility, R#1 stayed at the hospital. Family came to the facility to inform them that R#1, was placed on hospice at the hospital and had passed away on 02/08/23. LPA obtained the following records: Medical notes from NP, In-house incident report, Medication, list, Physician's report, Pre -Admission agreement form, Preplacement appraisal, and ID/Emergency information, An exit interview conducted with Amy Adam, RN and copy of report provided.the state’s words, verbatim · CDSS document, Apr 10, 2023

Allegation investigated: Facility staff are withholding resident(s) mail. Facility administrator does not spend a sufficient amount of time at the facility.

Licensing Program Analyst (LPA) Ana Soto conducted a complaint investigation for the allegation listed above. Today’s complaint investigation was conducted with Robert May, Executive Director. The investigation consisted of following: Interviews and Record reviews. On 11/10/22, LPA Soto interviewed S#1 – Robert May - Executive Director, S#2 – Rachel Martinez – via telephone, S#3 – S#10, R#1 – R#10. LPA requested and received the following documents on 11/10/22: ex: Resident Roster, Staff Schedule, Mail Process Procedure letter, and Executive Director work week schedule. Unsubstantiated Based on the LPA's investigation, the investigation revealed the following: For Allegation 1 – Facility staff are withholding resident(s) mail. Interviews conducted with S#1 – S#10, communicated that the mail is sorted and distributed daily. Facility has a sheet that shows which resident can get mail personally and which resident has their family member receive the mail for them. In the Memory Care Unit – Connection side the mail is given to the resident directly by the manager. In the Haven side- the mail is giving to manager and the manager’s give it to the assistants which open and read the mail for the resident. LPA reviewed the letter of who’s allowed to received mail directly and whom has it picked up by family member. LPA also reviewed the Residents roster which also shows who get mail and who doesn’t. Interviews conducted with R#1 – R#10, communicated that they all get their mail. The mail hasn’t been withheld by staff or it hasn’t gone missing either. The interviews and records reviewed do not concur with the above allegation. Allegation 2 - Facility administrator does not spend a sufficient amount of time at the facility. The interviews conducted with S#1, communicated that he is always at the facility. If he is not in his office, it’s because he is making his rounds around the facility. The only time is not at the facility is when his on vacation or a business trip. In those instances, he will notify all the staff, residents, and family members that he will not be available, and leave the contact information of the person taking over for him. S#2 - S#10, communicated that Robert May is always at that facility 5 days a week. He is always making his rounds in the facility. Helping staff, residents and speaking to family members. His always available when needed. Even on his days off, the staff, residents, and family members can get a hold of him by cell phone. Interviews with R#1 – R#10, communicated that they see the Executive Director, but they really haven’t needed him or needed his help. So, they feel his there enough at the facility. LPA review executive Director’s work week schedule. It showed his there at the facility enough time to oversee facility. The interviews conducted and records reviewed do not concur with the above allegation. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated An exit interview was conducted with Robert May, Executive Director and a hard copy of report was provided.the state’s words, verbatim · CDSS document, Nov 10, 2022 · control 11-AS-20221031085112

Allegation investigated: Staff denied resident family visits. Staff denied resident other communication with family.

This amended report supersedes report dated 05/23/22. Licensing Program Analyst (LPA) Ana Soto conducted a subsequent complaint investigationto deliver findings and decisions for the allegations listed above. Today’s complaint investigation was conducted with Robert May, Executive Director The investigation consisted of following: Interviews and Record reviews. On 05/23/22, LPA Soto interviewed Executive Director, Robert May, Dementia Unit Manager, via telephone Keith Serle, R#1 – R#3. LPA Soto received the following documents on 05/23/22: Resident Roster, Staff Schedule, Physician’s report, Admission agreement, Notarized Durable Power of Attorney – Doc#528464788 pgs. 1-12, California Advance Health Care Directive -Doc#528465153 pgs. 1-9 dated 09/08/18, notarization dated: 09/17/19. Substantiated Based on the LPA's investigation, the investigation revealed the following. For Allegation – Staff denied resident family visits. Interviews with Executive Director and Dementia Unit Manager stated that R1 was a POA and R1’s POA advised the facility that certain family members are not allowed to visit R1. The facility is abiding by POA’s request. When other family members that are not on the POA approved list to visit, the facility calls POA to see if those individuals can visit with R1. If POA denies visitation for those individuals, the facility denies the visitors request to visit via in-person. Interview with Dementia Unit Manager stated that according to the POA, they are having a legal court date in June 2022, to finalize R1 situation. Interviews with R#1 -R#3, where not able to communicate with LPA. Due to their advance mental condition. LPA reviewed Notarized Durable Power of Attorney, which grants POA to make decisions on behave of R1, but it does not give the POA the right to restrict visitors. R1’ can have visitors as long as R1 allows visitors to visit. PIN 21-48, states that POA do not have the right to restrict visitors for R1. Interviews and records review does concur with the above allegation. Allegation 2 - Staff denied resident other communication with family. Interviews with Executive Director and Dementia Unit Manager stated that R1 was a POA and R1’s POA advised the facility that certain family members are not allowed to visit R1. The facility is abiding by POA’s request. When other family members that are not on the POA approved list to visit, the facility calls POA to see if those individuals can visit with R1. If POA denies visitation for those individuals, the facility denies the visitors request to visit via in-person, telephone, written, and/or virtual. Interview with Dementia Unit Manager stated that according to the POA, they are having a legal court date in June 2022, to finalize R1 situation. Interviews with R#1 -R#3, where not able to communicate with LPA. Due to their advance mental condition. LPA reviewed Notarized Durable Power of Attorney, which grants POA to make decisions on behave of R1, but it does not give the POA the right to restrict communication with family. R1 can have communication with family if R1 excepts the family. PIN 21-48, states that POA do not have the right to restrict communication with family for R1. Interviews and records review does concur with the above allegation Based on LPA’s observations and interviews which were conducted and records review, the preponderance of evidence standard has been met, therefore the above allegations are found to be substantiated. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA observed the following deficiencies and issued citations. An exit interview was conducted with Robert May, Executive Director, and a hard copy was provided.the state’s words, verbatim · CDSS document, Sep 26, 2022 · control 11-AS-20220516103707

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(11) · Plan of correction due date: Oct 7, 2022

87468.1(a)(11) To have their visitors, including ombudspersons and advocacy representatives, permitted to visit privately during reasonable hours and without prior notice, provided that the rights of other residents are not infringed upon. This was not met as evidence by: Based on Dual POA does not restrict visitor or calls from family. Which poses a potential health and safety risk for persons in care.the state’s words, verbatim · CDSS document, Sep 26, 2022

Plan of correction: Executive Director to proivde a letter of outcome of family meeting with POA and family on or before POC due date.

Allegation investigated: Facility is not following covid protocols.

THIS AMENDED LIC 9099 SUPERSEDES REPORT DATED 05/16/22.Licensing Program Analyst (LPA) Ana Soto conducted subsequent complaint visit to deliver amended findings for the allegation listed above. Today’s complaint investigation was conducted with Robert May, Executive Director. The investigation consisted of following: Interviews and record reviews. LPA toured the entire Haven Unit, which consisited of the following: lounge room, Director of memory care office, dining room, activity room, tv room, balcony/patio. LPA Soto interviewed Executive Director, Director of Nursing, Supervisor of Haven Unit, S#4 - S#9, R#1 - R#6. LPA received the following documents on 05/16/2022, Resident Roster and Staff roster for Haven Unit. Based on the LPA's investigation, the investigation revealed the following. For Allegation – Facility is not following covid protocols. Interviews conducted with Executive Director, Unsubstantiated Director of Nursing, Haven Supervisor, S#4 - S#9, and R#1 - R#6, all were in agreement that the facility followed the latest Covid 19 protocols. To ensure that safety of all staff and residents in the facility. They were testing resident's every day and testing staff weekly. The facility had signs posted for the positive residents, they used the red poster. For the residents that where symptomatic and/or in quarantine, they used the yellow poster. For the negative residents, they used the green posters. The residents where all separated from each other depending on their tests and/or symptoms. The positive residents and negative resident where never co-mingled. The facility had 2 rooms designated for positive residents (activity and TV rooms.) The negative residents also had 2 rooms designated for them, (Lounge room and dining room.) The facility had enough PPE's for the staff at all times. The staff would always donning their full PPE's with the Covid Positive residents. When working with the Covid negative residents, they always wore masks and wash their hands. They would un-donning their full PPE's and put new masks on, and wash their hands when leaving the Red Zone and put new mask and wash hand again before entering the green zone. The facility is still in the yellow zone and under Outbreak status with DPH. All residents are out of quarantine, awaiting on DPH to release them from the outbreak status. The DPH performed their own site visit on Friday 05/13/22, they did not have any Covid 19 concern or issues with the facility. The DPH was satisfied with the facility, they were following all their guidelines. LPA found that the facility followed the latest CCLD Covid -19 protocols, from (PIN 22-09- ASC.) The facility followed the following PIN's: PIN 21-43-ASC, Mitigation Plan. The facility was following their mitigation plan and had it posted in the facility. PIN 21-38-ASC-Fit testing, all the staff was fit tested for N95 masks. PIN 21-53 – ASC, Required vaccinations and boosters. All the staff was vaccinated and had booster shots too. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated An exit interview was conducted with, Robert May, Executive Director, and a hard copy of report was provided.the state’s words, verbatim · CDSS document, Jun 26, 2022 · control 11-AS-20220506111328

Allegation investigated: Staff denied resident family visits. Staff denied resident other communication with family.

Licensing Program Analyst (LPA) Ana Soto conducted a complaint investigation for the allegations listed above. Today’s complaint investigation was conducted with Robert May, Executive Director The investigation consisted of following: Interviews and Record reviews. On 05/23/22, LPA Soto interviewed Executive Director, Robert May, Dementia Unit Manager, via telephone Keith Serle, R#1 – R#3. LPA Soto received the following documents on 05/23/22: Resident Roster, Staff Schedule, Physician’s report, Admission agreement, Notarized Durable Power of Attorney – Doc#528464788 pgs. 1-12, California Advance Health Care Directive -Doc#528465153 pgs. 1-9 dated 09/08/18, notarization dated: 09/17/19. Unsubstantiated Based on the LPA's investigation, the investigation revealed the following. For Allegation – Staff denied resident family visits. Interviews with Executive Director and Dementia Unit Manager stated that R1 was a POA and R1’s POA advised the facility that certain family members are not allowed to visit R1. The facility is abiding by POA’s request. When other family members that are not on the POA approved list to visit, the facility calls POA to see if those individuals can visit with R1. If POA denies visitation for those individuals, the facility denies the visitors request to visit via in-person. Interview with Dementia Unit Manager stated that according to the POA, they are having a legal court date in June 2022, to finalize R1 situation. Interviews with R#1 -R#3, where not able to communicate with LPA. Due to their advance mental condition. LPA reviewed Notarized Durable Power of Attorney, which grants POA to make decisions on behave of R1. The interviews and records review did not concur with the above allegation. Allegation 2 - Staff denied resident other communication with family. Interviews with Executive Director and Dementia Unit Manager stated that R1 was a POA and R1’s POA advised the facility that certain family members are not allowed to visit R1. The facility is abiding by POA’s request. When other family members that are not on the POA approved list to visit, the facility calls POA to see if those individuals can visit with R1. If POA denies visitation for those individuals, the facility denies the visitors request to visit via in-person, telephone, written, and/or virtual. Interview with Dementia Unit Manager stated that according to the POA, they are having a legal court date in June 2022, to finalize R1 situation. Interviews with R#1 -R#3, where not able to communicate with LPA. Due to their advance mental condition. LPA reviewed Notarized Durable Power of Attorney, which grants POA to make decisions on behave of R1. The interviews and records review did not concur with the above allegation. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted with Robert May, Executive Director, and a hard copy was provided.the state’s words, verbatim · CDSS document, May 23, 2022 · control 11-AS-20220516103707

Allegation investigated: Facility is not following covid protocols.

Licensing Program Analyst (LPA) Ana Soto conducted an initial complaint investigation for the allegation listed above. Today’s complaint investigation was conducted with Robert May, Executive Director. The investigation consisted of following: Interviews and record reviews. LPA toured the entire Haven Unit, which consisited of the following: lounge room, Director of memory care office, dining room, activity room, tv room, balcony/patio. LPA Soto interviewed Executive Director, Director of Nursing, Supervisor of Haven Unit, S#4 - S#9, R#1 - R#6. LPA received the following documents on 05/16/2022, Resident Roster and Staff roster for Haven Unit. Based on the LPA's investigation, the investigation revealed the following. For Allegation – Facility is not following covid protocols. Interviews conducted with Executive Director, Director of Nursing, Haven Supervisor, S#4 - S#9, and R#1 - R#6, all were in agreement that the facility followed the latest Covid 19 protocols. Unsubstantiated to ensure that safety of all staff and residents in the facility. They were testing resident's every day and testing staff weekly. The facility had signs posted for the positive residents, they used the red poster. For the residents that where symptomatic and/or in quarantine, they used the yellow poster. For the negative residents, they used the green posters. The residents where all separated from each other depending on their tests and/or symptoms. The positive residents and negative resident where never co-mingled. The facility had 2 rooms designated for positive residents (activity and TV rooms.) The negative residents also had 2 rooms designated for them, (Lounge room and dining room.) The facility had enough PPE's for the staff at all times. The staff would always wear their full PPE's with the Covid Positive residents. When working with the Covid negative residents, they always wore masks and wash their hands. They would take their PPE's off, put new masks on, and wash their hands when leaving the Red Zone and put new mask and wash hand again before entering the green zone. The facility is still in the yellow zone and under Outbreak status with DPH. All residents are out of quarantine, awaiting on DPH to release them from the outbreak status. The DPH performed their own site visit on Friday 05/13/22, they did not have any Covid 19 concern or issues with the facility. The DPH was satisfied with the facility, they were following all their guidelines. LPA found that the facility followed the latest CCLD Covid -19 protocols, from (PIN 22-09- ASC.) Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated An exit interview was conducted with, Robert May, Executive Director, and a hard copy of report was provided.the state’s words, verbatim · CDSS document, May 16, 2022 · control 11-AS-20220506111328

Allegation investigated: Staff do not ensure resident's toileting needs are met

Licensing Program Analyst (LPA) Ana Soto conducted a subsequent complaint visit to deliver findings and decisions for the allegation listed above. Today’s complaint investigation was conducted with Robet May, the facility Executive Director. The investigation consisted of following: Interviews and Record reviews. On 06/03/21, LPA Soto conducted interviews with Director of Nursing Julie Lacey. The LPA also requested and received copies of the following documents: Resident roster, Staff roster, R#1 -R#3 -Physician's Report, Medication list, Care Plan, Pendant report (call time,) S#3 - S#5 files (App Employment, Trainings, Health Screening) LPA also toured lobby,1st floor hallway and lounge, 1st floor common bathroom, dining room, TV lounge room, Activity Room, Executive Director's office, rooms 103, 114B, & 204B. 07/20/21, LPA Soto conducted interviews with Robert May (Executive director), Raquel Martinez (Human Resources Manager), S#4 - S#9, R#1 - R#10. Toured entire facility. The LPA also requested and received copies of the following documents. Resident and Staff rosters and Admissions agreement (R#1.) Unsubstantiated Based on the LPA's investigation, the investigation revealed the following. For Allegation #1 – Staff do not ensure resident's toileting needs are met. Interview with Robert May, stated that R#1 was a respite resident (temporary resident.) R#1 had a temporary physical disability and was being help with therapy, in order, for R#1 to get better and move to another facility or home. Interviews with Julie lacey, Rachael Martinez, and S#4 – S#9, stated that R#1 had a temporary physical disability, but R#1 was doing therapy and getting better. R#1 did not need help with incontinence problem. R#1 could go to the bathroom on R#1 own. R#1 could walk around with a cane and did not need help with any ADL’s. Interviews with R#2 – R#10, stated that the needs are being met, care givers helped them with everything they need and request. Their toileting needs are being met. The staff are very nice and helpful. LPA Soto reviewed R#1 file and indicating that R#1 was temporary in the facility and was being helped with R#1 temporary physical disability. The interviews and reports reviewed did not concur with the above allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated An interview was conducted with Robert May, Executive Director and a hard copy was provided.the state’s words, verbatim · CDSS document, Jul 22, 2021 · control 11-AS-20210526163508

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ana Soto conducted an unannounced Annual required visit and an infection control inspection to the above facility. LPA was met by Robert May, Executive Director and the purpose of today’s visit was explained. There are currently (95) residents in the facility. The facility has 3 sections within the facility. The assisted Living, Connections, and Haven sections. (38) residents are ambulatory and (60) are non-ambulatory. The facility is a two-story structure located in a residential neighborhood. It consists (116) bedrooms, (133) bathrooms, shaded court yard, shaded front yard with water fountain, and trash area in the back of building in the south parking lot. 1st floor; kitchen, staff room, laundry room, dining room, library, 3 restrooms (2 inside building and 1 outside court yard area, lobby area, reception area, executive office, copy room, hallways, bistro, cinema room (team member desk,) electric room, Director of team support office, Maintenance closet, French dining room, Loggia with fire place, dining supplies closet, activity room. 2nd floor: connections and haven sections. Connection section; closet with medical supplies, spa, linens storage, nursing supply storage, cafe, activity room, family room with fireplace and office, trash closet, electrical closet, toxic supplies closet, patio. Haven section; cafe, activity room with sink, ocean room with balcony and fireplace, laundry room, trash closet, electrical closet, medication carts in all 3 sections. Assisted living on 1st floor and 2nd Floor with salon, and medical office. LPA and Robert and Raquel Martinez (Business Director) toured the entire facility inside and out. Documents are posted as mandated. 95 Rooms are occupied by residents and contain the mandated furniture. All bathrooms are clean and operational. First aid kit complete with manual; smoke detectors and carbon monoxide detector were in compliance and operational. No firearms are stored at facility and water fountain present but does not present a hazard for residents. Medications are stored, locked and inaccessible to residents. Medications and file are current. 4 Staff files are current. Ample supply of perishable and nonperishable food, hot water temperature is 111 degrees Fahrenheit, linens and personal hygiene supplies are adequate, hazardous toxins and/or sharp items are inaccessible to residents, 10 fire extinguishers are fully charged. Exit, walkways and/or passageways, front and court yard are free of debris and/or hazards. The facility is in excellent repair. During the visit, LPA observed the facility infection control practices. LPA observed a sanitizing station at the facility entry and the court yard, visitors are logged, and temperature checked, sanitizer/soap in the all bathroom and additional sanitation supplies are locked in the copy room. LPA observed staff and clients wearing masks, residents’ private rooms will be converted to isolation rooms (if needed) and/or residents will be moved to a suite for isolation and required postings throughout the facility. The facility has an approved Mitigation plan. The resident’s temperatures are checked and logged once a day. PPE's are enough for 30 days. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA did not observe any deficiencies, therefore no citations were issued at this time. An exit interview conducted with Robert May, Execute Director and copy of report provided.the state’s words, verbatim · CDSS document, Jul 20, 2021