Follow-up on corrections·October 15, 2024

10/15/24 10:15 AM Licensing Program Analyst (LPA) Rebecca Knight conducted a case management visit to follow up on an issue that was reported to Donna Gurriere, LPA on 10/08/24. During a walk through of the memory care unit, LPA Gurriere spoke to a resident from the assisted living side of the facility who was visiting his wife in the memory care unit. LPA Gurriere asked the resident how he was doing, and he replied that everything was fine except for his wife’s laundry was not getting done. When asked why the laundry wasn’t getting done, he replied, “It was due to, well you know, the scabies outbreak.” He indicated that his wife was upset because her laundry was not getting done. While gathering information of the scabies outbreak, LPA Gurriere was advised that at least two residents have scabies, and several other residents have a “rash.” It was reported that the residents that have a rash have not been diagnosed or been seen by a physician at this time. Residents were observed mingling with one another, one care provider was giving pedicures to three residents, which could have increased the spread of scabies using the same utensils and gloves on each of the resident’s toes. Of concern is that the resident that was visiting his wife in memory care, could carry the scabies outbreak to the assisted living side of the facility where he resides. Facility staff included the care provider giving pedicures and one medication technician for 13 residents diagnosed with dementia. Continued on LIC809-C The facility will be cited this date for the scabies outbreak and for not having enough staff to take the necessary precautions to prevent the spread of scabies. Sufficient staff were not present to ensure that the residents were taken to their physician for medical issues (rashes) and the laundry was not being completed to assist in the potential spread of scabies. Based on investigation observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegations are found to be Substantiated . California Code of Regulations, (Title 22), is cited on the attached LIC809D. Upon inspection of the facility’s compliance history, LPA determined that the licensee was issued a deficiency for the same violation within the past 12 months. As a result, a civil penalty was assessed in the amount of $250.00 on 10/15/2024 on the attached LIC421. Appeal Rights were explained and provided to the facility representative listed above and an exit interview was conducted. If any of the cited deficiencies are not corrected by the noted due date, additional civil penalties may be assessed.