Complaint Investigation Report

Records review corroborated that an in-service training was conducted for staff regarding Scabies infection control and contact precautions. During an unannounced facility visit LPA directly observed evidence of the infection protocols in place such as PPE carts outside of resident rooms, increased cleaning of common surfaces by housekeeping staff, and quarantine signs on resident doors.

Regarding the allegation, "Licensee did not assist resident(s) with showering", it was alleged that residents were not being showered according to their care plans. Staff interview responses were varied and inconsistent, some staff stating that showers were offered multiple times but refused by residents, other staff informing that showers were being given consistently, and additional staff informing that certain shifts were not consistently showering residents. Residents interviewed stated that showers were being provided consistently and on time. Records review showed that staff were not consistently completing the shower and body check logs during the timeframe of complaint, resulting in the absence of recorded proof if showers were being provided. Outside sources interviewed could not speak to consistency of showers.

Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violation(s) occurred, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted with Executive Director Stefanie Ancheta, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.