complaint·September 17, 2024

(R1)’s LIC 602 Physician’s report dated on 03/05/2024 indicated that (R1) has a history of skin condition/breakdown. Based on (R1)’s Home Health Care Notes, it was learned that (R1) had home health services on 11/02/2023 for venous stasis ulcer. Records also indicated that (R1) was being seen by a nurse from 08/01/2023 to 11/29/2023 for wound care twice a week. (R1) was discharge from home health on 12/06/2023 since (R1) did not have any more skin issues. On 02/09/2024, (R1) resident was opened to nursing services for wound on buttocks with stage 2. On 02/20/2024 (R1) as was closed to home health services as it the wound was healed and that there is no open area or any wounds. LPA Lee also interviewed out of 7out of 7 residents who have no concern with staff not assisting resident with obtaining medical care. Moreover, (R1) denied the allegation and has no concern that staff are not obtaining medical care to (R1). LPA Lee also interviewed 5 out of 5 facility staff who denied the allegations. Allegation: Staff are not addressing a scabies outbreak. It was alleged that Staff are not addressing a scabies outbreak. This investigation consisted of records reviewed, interviews with staff and residents in care. Based on records reviewed (R2) has eczema and sent out to the hospital on 06/14/2024 due (R2) being itchiness and was prescribed Triamcinolone Acetonide. It was also learned that (R3) was seen on 05/10/2024 by a Dermatology Clinic for a widespread eczema like rash and was prescribed Triameinolone ointment. LPA Lee also interviewed 7out of 7 residents who have no concern with staff not addressing a scabies outbreak. Moreover, (R1) denied the allegation and has no concern. LPA Lee also interviewed 5 out of 5 facility staff who denied the allegation. The investigation revealed the preponderance of evidence standards have not been met; therefore, the above allegations are found to be UNSUBSTANTIATED . A finding that the complaint allegations are UNSUBSTANTIATED means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation(s)occurred. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 6, no deficiencies were cited. A copy of this report was provided, along with Appeal Rights and the LIC 811, the Confidential Names List. Exit interview. It was learned that (R1) had the wheelchair zip tie to keep the arm rest from folding up. Furthermore, (R1)’s medical bed does not crank up to a standing position for caregivers to give (R1) a bed bath. As a result, this allegation is SUBSTANTIATED. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the standard has been met. Deficiency cited on the LIC 9099-D, per Title 22 Regulations. An exit interview was conducted and a copy of this LIC 9099, LIC 9099-D page and appeal rights provided to facility.