Complaint Investigation Report

On the allegation, “Resident sustained scabies while in care” it is the concern of the Reporting Party (RP) that Client 1 (C1) had a rash covering their body from head to toe, which the facility identified as eczema. The RP believed the rash might be scabies and questioned whether the condition was being appropriately treated. To investigate the complaint, LPAs Peraldi and Cortez conducted in-person and telephonic interviews, as well as record reviews of facility records.

Interviews with Administrator Charles Carino revealed that C1 has a pre-existing diagnosis of psoriasis, which causes C1’s skin to become inflamed, scaly, and itchy. The Administrator stated that C1 receives daily topical treatments and monthly injections for this condition. C1 visits a dermatologist monthly, and the Administrator noted that no concerns regarding scabies had been raised by the specialist during those routine visits.

In early January, the Administrator was notified by C1’s Day Program Director that his two clients had scabies. In response, the facility took C1 to their dermatologist on January 6, 2026, and notified the Department of Public Health regarding the potential exposure at the Day Program.

Record reviews confirmed that C1 has consistently seen a dermatologist. LPA Cortez reviewed medical reports dated 08/28/25, 09/30/25, 10/28/25, 12/02/25, and 01/06/26, which confirmed C1’s ongoing treatment for psoriasis flares using topical medications and Nemluvio injections. The report from 01/06/26 noted a rash flare-up; as a precaution due to the scabies exposure, C1 was prescribed Ivermectin to treat for possible scabies.

Further investigation confirmed that C1’s Day Program was experiencing a scabies outbreak during this period. However, the Department of Public Health could not determine the exact origin of the outbreak. While C1 was treated prophylactically for scabies, there is no medical evidence of a definitive scabies diagnosis. Furthermore, it remains unclear whether the exposure occurred at the facility or the Day Program.

The facility staff communicated with Public Health and CCL in a timely manner and followed all necessary infection control protocols. Based on the evidence gathered, there is insufficient evidence to determine that "Resident sustained scabies while in care". Therefore, this allegation is deemed unsubstantiated at this time.

Report will continue on LIC9099-C, 3rd page.