Complaint Investigation Report
Allegation: Staff did not notify resident's responsible party of a scabies outbreak.
The details of the complaint alleged that facility did not notify (R#1)’s responsible party regarding scabies outbreak.
On January 14, 2026, Licensing Program Analyst (LPA) Alfonso Iniguez conducted a comprehensive records review, including (R#2)’s staff notes. The review found that on December 7, 2025, an email was sent to (R#2)’s home health provider regarding a possible health condition. The facility isolated (R#2) on December 8, 2025. On December 15, 2025, a health condition was diagnosed, and the following medications were prescribed: ivermectin 3mg oral tablets and permethrin 5% cream. LPA Iniguez also reviewed (R#1)’s staff notes dated 12/8/25, 12/9/25, 12/14/25, and 12/26/25, and observed no documentation indicating that facility staff informed (R#1)’s representative of (R#2)’s “health condition.”
On 1/14/26 at approximately 10:30 AM, Licensing Program Analyst Alfonso Iniguez spoke with (A#1). LPA inquired if the facility had reported (R#2)’s health condition to (R#1)’s responsible party, since (R#1) and (R#2) shared a room. (A#1) responded that this responsibility belonged to the facility nurse (S#2) and wellness director (S#1), and stated, “otherwise I don’t know if it was reported.”
On 1/14/2026 at approximately 10:30 AM, Licensing Program Analyst Alfonso Iniguez asked (S#1) if documentation existed showing staff reported (R#2)’s health condition to (R#1)’s responsible party. (S#1) confirmed there was no written record in the residents’ notes and indicated the facility nurse (S#2) could provide further information.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction