complaint·July 28, 2023

LPA also observed supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days. Restrooms, hand washing basins, toilets and bathtub/showers are operable. There are no immediate health and safety concerns. The following documents were collected which included: staff and resident roster. Resident#1-#3 (R1-R3) LIC601, physician report, resident appraisal, and admission agreement. On today's date, LPA interviewed five staff (S1-S5) and six residents (R1-R6) and families, facility in house doctor and obtained copy of physician communication report. The investigation revealed of the following: In regards to the allegation o f "Resident has severe case of scabies" LPA interviewed the facility regional nurse on 09/07/2022 and reported that residents were not diagnosed with scabies and residents only had suspicious rashes from July to August 2022. Medical treatment was sought for residents in question as required and the issue was had been resolved but residents were treated prophylactically as a preventive measure. LPA also reviewed the residents' physician communication report and indicated for rashes and itching. LPA contacted the medical professional on 11/18/2022 and it was confirmed the facility did have scabies infection about two to three months ago (July to September 2022). The medical professional reported he did not remember how many residents got infected but for sure it’s more than two residents. Affected residents were treated and the issue was resolved. In regards to Resident #1, she was admitted to the hospital on 09/01/2022 and diagnosed with an advanced case of scabies which had not been properly treated and/or required medical treatment had not been obtained per emergency personnel. R1 did not get proper treatment at the facility while the facility had a scabies outbreak. Based on LPA’s observations, interviews, and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . California Code of Regulations, Title 22, Division 6, Chapter 8, is being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of this report was provided to the Wellness Director Yumi Ludwig along with the Appeals Rights.