Complaint Investigation Report

Allegation: Staff are not addressing scabies at the facility

On 01/24/2024 LPA España conducted interviews with staff 1-staff 6 (S1-S6). Of those interviewed, 5 out of 6 stated that to their knowledge, none of the facility clients had scabies. On 01/24/2024 LPA España conducted interviews Client 1-Client 9 (C1-C9) regarding the allegation. Of those interviewed, 8 out of 9 clients disagreed with the allegation. During LPA’s interview with Client 5 (C5) it was reported that C5 had scabies. On 01/24/2024 LPA reviewed Providence St. Johns Health Center Emergency Department discharge summary dated 12/27/2023 that confirmed scabies diagnosis for C5, document was not provided to facility staff prior to complaint investigation. A follow-up interview was conducted with administrator Stephanie Brown who stated she was not provided with diagnosis or documentation by C5 previously, but would be taking appropriate infection control protocols now that they knew of the scabies diagnosis.

Based on LPA’s observation, interviews conducted, and record review, the preponderance of evidence standard has not been met. Although the allegations 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 allegations is unsubstantiated.

Exit interview was conducted with facility representative as well as report was provided to Administrator Stephanie Brown.