complaint·December 18, 2025

The investigation revealed the following: Allegation: Staff are not addressing a scabies outbreak. The detail of the complaint alleges that multiple residents were covered in rashes and facility is not addressing the issue. On December 18, 2025, at 10:18am, the Department interviewed Nicole Anguiano (A1) who stated that there have been no reports of residents having a diagnosis of Scabies. However, A1 went on to state that a resident’s (R1) family member had a concern about a rash R1 had. This rash was not a diagnosis of scabies. R1 was diagnosed with another condition for which she was sent to a Skilled Nursing Facility (SNF) for care and subsequently returned to the facility. Lastly, A1 stated that Riverside County Public Health department was notified in addition to Community Care Licensing via Incident Report. Lastly, A1 stated that around the time of the complaint (May 2024) another resident (R2) was scratching, however when seen by a physician, the itching was a result of anxiety and not a diagnosis of Scabies; staff were instructed to treat with Neosporin. On December 18, 2025, between 11:45am and 12:30pm, the Department interviewed 5 staff (S1-S5) regarding the allegation. Of those interviewed, 5 out of 5 denied the allegation stating the facility has never had an outbreak of Scabies since they have been with the company. 5 out of 5 knew the protocol for an infectious disease outbreak. Page 2 of 3 On December 18, 2025, the Department made several attempts to interview the residents available in the memory care unit, however the Department was unable to interview residents due to their functioning level and their inability to understand the questions asked. On December 18, 2025, the Department reviewed and evaluated the following documents: R1 Unusual Incident Report (UIR) dated 8/6/24 and 11/7/24, Dermatology visit notes (dated: 3/6/24), R1’s lab report (dated: 8/1/24), Physician Communication document (dated: 8/6/24), Medication order (dated: 8/2/24), Wound Care Progress notes (dated: 11/1/24), R1 Skilled Nursing Facility (SNF) admission document (dated: 7/25/24); R2 Physician visit and orders (dated: 6/5/24, 5/14/25), and R2 discharge document (dated; 5/22/24). The review of documents reveals there was no outbreak of Scabies as indicated in the complaint. Additionally, the documents revealed that the facility followed protocol and reporting requirements to handle an infectious disease. Based on the information gathered, there is insufficient evidence to support the allegation mentioned above; 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 UNSUBSTANTIATED. There were no deficiencies cited during today’s visit. Exit interview conducted with Administrator and copy of report provided. Page 3 of 3