Line List reviewed. Resident one (R1) is receiving Hospice, LPA requested Hospice notes. Resident two (R2) no changes in discharge plans. Resident three (R3) was repositioned and refusing changing today. Resident four (R4) refused temperature, she walked out of the facility to the sidewalk and staff escorted her back. TM stated 2/19/2021 refused to be seen, most recent LIC 602 dated 3/13/2020 is able to leave the facility unassisted. TM stated they will go over house rules and document refusal of medical assessment. LPM recommended faxing all SIR’s of behaviors to the Regional Office and MD. Resident five (R5) engaged in craft actives and Resident six. No other incidents noted. The RO is awaiting 5 SIR's.

Staffing agency contract has been extended through CDSS for additional month. TM stated the extra staff is walking 1:1 with residents, doing activities, and crafts.

Staffing plan for hiring needs. In the last moth ADM has hired 4 medical technicians (MT) who are being cross trained as caregivers, including one full time NOC MT and one LVN hired as a quality assurance nurse, ADM is still hiring kitchen, house keeping and caregiver staff. Informed on the call today informed today was the Infection Preventionist last day was today and LPA will follow up on staffing for the role on future daily call.

Bed bug inspection with canine today identified one additional room with bugs. Treatment today at 2:30pm.

An exit interview was conducted with Parker. A copy of this report was provided to via email, due to COVID-19 precautionary measures, with a "read receipt" to verify the LIC 809 was received. Parker is print out the report and fax a signed copy to LPA at 916-263-4744 or email to LPA at ashley.boothe@dss.ca.gov.