complaint·November 6, 2024

During the course of the investigation, the Department obtained sufficient evidence to substantiate the allegation mentioned above. The preponderance of evidence standard has been met; therefore, the above allegation is Substantiated. See LIC9099D for cited deficiencies per Title 22 Division 6 of the California Code of Regulations. Civil penalties for repeat violations are being assessed. See LIC421FC. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative. It was alleged that witnesses observed that the facility had placed 15 to 20 residents in one room, all of whom were wearing only diapers and infected with scabies. On October 24, 2024, and November 4, 2024, LPA inspected the facility, including 35 resident rooms, and conducted health and safety checks on approximately 65 residents and did not obtain information corroborating this allegation. LPA interviewed AD who denied the allegation. LPA interviewed two witnesses who did not provide information corroborating this allegation. LPA interviewed five of the residents who, per AD, have received treatment for scabies, but did not obtain reliable information corroborating the allegation due to the residents’ diagnoses of dementia. LPA interviewed six staff who did not corroborate the allegation. The information obtained did not corroborate the allegation. Based on the information gathered during the investigation and review of all documents obtained, the Department is unable to ascertain if the above allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated. An exit interview was conducted and a copy of this report was discussed with and provided to facility representative. It was alleged that visitors and family members are not permitted to enter residents’ rooms and that instead residents are brought out to common areas for visits. LPA interviewed AD and one staff who denied the allegation. LPA interviewed two witnesses who did not provide information corroborating this allegation. On November 5, 2024, LPA inspected the facility and observed visitors in resident rooms in the assisted living section of the facility, but did not observe visitors in the memory care unit. LPA has also previously observed visitors in resident rooms in the assisted living section of the facility on multiple occasions. LPA reviewed the facility’s visitation log for October 2024 and noted four memory care residents who had visitors in October 2024. LPA interviewed the visitors for the four residents, three of whom denied the allegation and one of whom did not corroborate the allegation. No information was obtained corroborating the allegation. The Department has investigated the above allegation and found it to be Unfounded, meaning the allegation was false, could not have happened, or is without reasonable basis. An exit interview was conducted and a copy of this report was discussed with and provided to facility representative.