complaint·December 23, 2025

when necessary, to prevent the spread of scabies. Interviews indicated that memory care residents do not have shared items in their bedrooms, if in a shared room, and that residents utilize locked cabinets to keep their personal belongings. Interview with ED indicated that R1 did not have a roommate until 7-days after the treatment for scabies. Interviews with ED, MCD, and HSC indicated that the facility has been conducting skin checks of all residents in memory care. Interviews with S1 and S2 indicated that, if any observations of skin concerns were made by care staff, they would notify the Med Tech on duty. S1 and S2 indicated that memory care staff have not observed any additional residents exhibiting signs or symptoms of scabies. There have also not been any staff exhibiting signs or symptoms of scabies in the care home. Interview with ED, MCD, and HSC indicated that R1's responsible party contacted Sacramento County Public Health regarding R1's scabies. Sacramento County Public Health contacted the facility on November 21, 2025 and provided the facility guidance information regarding scabies. The facility also contacted CCLD on November 21, 2025. Interview with Sacramento County Public Health indicated that they provided the facility with scabies prevention and control information. Sacramento County Public Health provided LPA a copy of the information. Sacramento County Public Health did not express any concerns regarding the steps the facility took to ensure infection control in the facility. However, Sacramento County Public Health indicated that the facility should contact them even if there is one (1) resident that is being treated for suspected scabies to ensure the facility is following the appropriate prevention and control guidance. According to visit summary, R1 was seen by a physician, on November 19, 2025, and was instructed to continue scabies medication treatment. The physician also performed skin scrapping on R1's left wrist to rule out scabies and fungal infection. The results indicated that there was no fungal infection to date and that the culture will be examined weekly for a total of 28 days incubation. A change in status will result in an updated culture report. To date the facility does not have any additional suspected cases of scabies. The facility utilized their scabies management policy to maintain infection control in the care home. Based on interviews conducted and documentation obtained, 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. No deficiencies are being cited. Exit interview conducted. A copy of the report was provided.