complaint·May 10, 2024

Facility staff did not seek medical attention for resident with lice: On 10/02/2023, LPA interviewed resident R1's family (FM). FM stated he/she went to the facility to visit R1 every week. FM stated he/she did not know R1 had lice. FM stated the facility did not notify him/her that R1 had lice. FM stated R1 moved out from the facility on 9/23/2023 and moved to another facility. FM stated on 9/25/2023 he/she received a phone call from the new facility that R1 had lice and it took 7 days to develop to the current condition of lice. On 10/12/2023, LPA interviewed 2 staff (S1, S2). S1 and S2 stated they did not know R1 had lice. Both stated residents have two showers per week and some residents have bed bath every day if the resident cannot take shower. Both stated the facility staff clean resident bedrooms every day and residents have laundry every day with or without mix of residents' clothes. Both stated the facility cleans resident Iinens 1-2 times per week. Both stated resident R1 moved out from the facility because R1's needed higher level of care. LPA interviewed Licensee (LCN). LCN stated R1 moved out from the facility because he/she needed higher level of care. LCN stated he/she received a phone call from R1's family that R1 had lice after R1 moved out from the facility two days after. LCN stated after he/she received the notice, he/she spoke to the facility staff and residents. LCN denied the facility had lice. LCN stated R1 went to day program, R1 might get lice from being outside in the community. LPA toured the facility including the common area, bathrooms and 6 resident bedrooms. LPA did not observe the sign of lice on residents. LPA interviewed Administrator (ADM). ADM stated the residents have 2 showers per week and as needed, have laundry every day and the facility changes resident's linens every week. ADM stated he/she did not receive any report from staff that R1 having lice. Continue on LIC9099-C. page 2 of 3. On 6/14/2024, LPA conducted a collateral visit at a licensed facility where R1 is currently residing to interview R1. R1 was unable to communicate due to neurocognitive disorders . LPA interviewed a staff S3. S3 stated he/she went to R1's day program to conduct a pre-assessment a week prior to 9/23/2023, the day R1 moved in to the new facility. S3 stated he/she did not find R1 had lice during the pre-assessment.. LPA interviewed 4 staff. 4 out of 4 staff stated R1 moved in the facility on 9/23/2023, and the facility staff found R1 had lice on 9/25/2023. LPA interviewed a staff S4. S4 stated the facility staff found R1 had lice on 9/25/2023, and notified R1's day program. S4 stated R1's day program staff stated that they did not find R1 had lice and the day program did not have any one with lice. Reviewed R1's resident notes, on 9/25/23, staff found R1 scratching head and lice noted in multiple areas of the head. The facility shampooed R1, and gave shower to R1. Based on the observation, records reviewed, and interviews, there was no lice found before 9/25/2023. ADM and LNS denied R1 had lice before 9/23/2023, R1's day program also denied R1 had lice before 9/23/2023. R1 moved to the new residency facility on 9/23/2023. There is no evidence to indicate that facility staff did not seek medical attention for resident with lice. The Department has investigated the above allegation. Based on interviews and observation, the department has found the above allegations is unsubstantiated . An unsubstantiated finding indicates that although the allegation may have happened and/or is valid, there is not a preponderance of evidence to show the alleged violations did or did not occur. No citation noted today per California Code of Regulations, Title 22. Exit interview was conducted with HM. This report was provided to HM for signature. A copy of the report was provided to HM. Page 3 of 3.