Facility Evaluation Report

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced case management visit during a complaint investigation to note deficiencies observed during the investigation. LPA met with Shannon Moore and explained the reason for the visit.

On 12/4/25 LPA Flores conducted a complaint investigation visit during the course of the investigation it was discovered that facility staff did not reported scabies treatment to three residents: per document review revealed on August 8/20/24 Resident #1(R1 was prescribed scabies treatment, on 8/20/24 Resident #2(R2) was prescribed scabies treatment, and on 8/23/24 Resident #3(R3) had scabies treatment active on medication list.

On 12/4/25 LPA Flores spoke to Assistant Nurse Manager at Riverside University Public Health who stated there are no records of facility reporting a scabies outbreak and once a facility is providing treatment to three or more residents they must report it as an outbreak to their department.

Deficiency was noted per Title 22 Regulations on LIC 809D.

Exit interview was conducted with Shannon Moore and a copy of this report, LIC 809D, and appeal rights were provided.