Complaint·September 12, 2022

S1 stated the Scabies outbreak started with a resident that is no longer at the facility. S1 stated the resident was at the facility for less than one month’s time. S1 stated there was no knowledge as to why the rash was being passed back and forth between residents. Based on statements by staff, R2 has ongoing refused treatment, which has proposed a potential continued health and safety risk to the other residents in the facility. According to interview with S2, the length of time R2 has refused medical treatment for the outbreak has been approximately 5 months. According to LPA Ivey Canady observations, staff did not ensure residents medical needs were properly addressed. According to interviews, licensee did not produce requested documentation to verify residents’ medical needs are addressed in a timely manner. Licensee stated residents had been taken to doctor’s appointments. Upon further investigation of those appointments, LPA Ivey Canady discovered those appointments were only phone consultations which required the licensee to follow-up with a dermatologist. According to records produced by the licensee, the residents had not been seen for this medical issue for over a month since the televisit. According to record review, a specialized dermatologist directed the care providers to take the residents in to see a specialist immediately. According to interviews, S1 and S2 did not follow doctors’ orders. Based on interviews and record review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 6) are being cited on the attached LIC-9099D. Failure to correct the deficiency may result in civil penalties. Appeal rights were provided. An exit interview was conducted with Administrator Joyce. Administrator Joyce said the entire report is false and not true. Administrator Joyce said she is not going to sign anything or create any plan of correction. Administrator Joyce did not want to continue conversation with LPA unless a manager is present. LPA to set up an office meeting with licensee and Licensing Program Managers to discuss this matter.