complaint·April 15, 2024

In an interview, Barry said she had not been in contact with public health regarding infection control requirements since R2's return to the facility. Barry was not aware that R2 had been diagnosed with scabies while at the hospital. 22 CCR Sections 87470(b)(1)(A) and 87470(b)(2)(A) state that the licensee shall report to a local health department or similar authority for guidance on proper PPE usage and proper environmental cleaning practices when one or more residents are diagnosed with a contagious disease. LPA Moleski interviewed a hospice nurse for a resident (R1). The nurse said R1 did not have scabies, but reported seeing several residents with wounds and itchy. R1 was treated with permethrin. In an interview, S1 said that the facility was instructed to use the permethrin as a precaution. S1 said that there were two other residents as of early March also taking permethrin (R3 and R4). S1 said that there was a scabies outbreak in 2023, and the same residents still had rashes. In an interview, S2 said that there was a scabies outbreak in 2023. S2 said there were a small number of residents with rashes as of March 2024. In an interview, S3 said that there were two residents with rashes (R2 and R5). In an interview, Barry said R1, R3, R4, and R5 were not diagnosed with scabies, and either had rashes of unknown origin or were being treated with permethrin as a precaution. The department has determined the following as it relates to the allegations that staff do not follow infection control protocols, that staff are not addressing a scabies outbreak, and that staff did not report a scabies outbreak as required: Based on interviews, observation, and record review, the above allegations are SUBSTANTIATED. A finding that the complaint allegations are substantiated means that the allegations are valid because the preponderance of evidence standard has been met. This facility is being cited per 22 CCR Sections 87470(b)(2)(A), 87470(b)(2), and 87470(b)(2)(B). An exit interview was held with Barry. Appeal rights and a copy of this report were left with Barry.