complaint·January 15, 2026

Continued LIC9099-C page 2. On 01/15/2026, between 10:25 a.m. and 3:00 p.m., LPA Pamela Bunker conducted interviews with staff members #1–#5 (S1–S5) and residents #1–#6 (R1–R6) regarding the complaint allegation. Investigation revealed the following. Allegation: Staff are not preventing the spread of a communicable disease. On 01/15/2026, between 10:25 a.m. and 3:00 p.m., LPA Bunker conducted interviews with staff members #1-#5 (S1-S5). Who all agreed that on 10/03/2025, the facility had a scabies outbreak, and eight residents and one staff member tested positive for scabies, and the staff and residents were treated. S1-S5 stated on 10/06/2026 that all the appropriate agencies and responsible parties were contacted. The facility followed Title 22 Regulations, ensuring that infection control practices are maintained, and the Health Department guidelines are followed. 5 out of 5 staff members stated that they took the necessary precautions to treat the residents and to prevent other residents from contracting scabies. 5 out of 5 staff stated that during the outbreak, staff members wore personal protective equipment ( PPE) gear to prevent the spread of scabies as required. 5 out of 5 staff members stated the residents were bathed daily, and Permethrin 5% cream was applied to the residents' bodies according to the physician's order, and residents showered 8 to 14 hours later. Residents were reassessed in 7 days to apply the second dosage, or depending on the doctor's order. 5 out of 5 staff stated each resident was monitored and records were documented in the residents' medical charts. S1-S5 stated residents were treated until their physician cleared them. 5 out of 5 staff members confirmed that the facility reported the incident prior to the complaint. On 01/15/2026, between 10:25 a.m. and 3:00 p.m., LPA Bunker conducted interviews with residents #1-#6 (R1-R6). 6 out of 6 residents stated that they did not have scabies, were aware of the scabies outbreak, and their responsible parties were notified, and it was posted. Allegation: Staff did not notify the resident's responsible parties of the outbreak. On 01/15/2026, between 10:25 a.m. and 3:00 p.m., LPA Bunker conducted interviews with staff members #1-#5 (S1-S5). 5 out of 5 staff members stated that the staff notified the resident's responsible parties of the scabies outbreak. 5 out of 5 staff members stated on 10/06/2025 and 10/09/2025, the residents' responsible parties, Community Care Licensing, and Long Beach Health Department were notified, via telephone and emails, of the scabies outbreak. 5 out of 5 staff members stated the scabies outbreak was posted inside the facility. LPA Bunker observed the email contacts dated 10/06/2025 and 10/09/2025 and the notification log dated 10/09/2025. See continued LIC9099-C page 3. Continued LIC9099-C page 3. On 01/15/2026, between 10:25 a.m. and 3:00 p.m., LPA Bunker conducted interviews with residents #1-#6 (R1-R6). 6 out of 6 residents stated that their responsible parties were notified of the scabies outbreak. Based on interviews, available evidence, observation, information received, and records reviewed, there was not enough sufficient evidence to support the 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 deemed unsubstantiated. There were no deficiencies cited. A copy of the Complaint Investigation Report LIC9099 and LIC9099-Cs was provided to Executive Director Joel Niblett. An exit interview was conducted.