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F0882
E

Failure to Consistently Employ Qualified Infection Preventionist

Stockton, California Survey Completed on 09-23-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to consistently employ a qualified Infection Preventionist (IP) responsible for the infection prevention and control program from January 1, 2021 through December 31, 2022. During this period, there were gaps in documentation and employment records for individuals designated as IPs. Payroll and Human Resources were unable to provide information on IPs for the specified timeframe due to missing employee files, which had been sent to a previous corporation. The Administrator was only able to provide names of two individuals who served as IPs but could not initially provide their employee files or evidence of their qualifications. Upon receiving the files, it was found that one IP had no documented IP certification, and the other had a certificate but was not employed as IP for the entire period in question. Further review of employee records indicated that there was no IP employed from December 3, 2021 through May 4, 2022. Additionally, when one individual was serving as IP, there was no documented evidence of specialized training or certification required for the role. Interviews with facility staff, including the DON, confirmed the necessity of a full-time, qualified IP to ensure infection prevention protocols were followed. The lack of a qualified IP during the specified period was directly observed through record reviews and staff interviews.

See complete original report
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