197606651-1-12-2024-28-AS-LHIS-CZYQMS-20240130111802

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197606651
Report Date: 01/12/2024
Date Signed: 01/12/2024 02:45:43 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/30/2023 and conducted by Evaluator Alberto Lopez

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20231130123048

FACILITY NAME:	LAKEWOOD GARDENS		FACILITY NUMBER:	197606651
ADMINISTRATOR:	MARIE JEENE R DE CASTRO		FACILITY TYPE:	740
ADDRESS:	12055 S. LAKEWOOD BLVD.		TELEPHONE:	(562) 869-4038
CITY:	DOWNEY	STATE: CA	ZIP CODE:	90242
CAPACITY:	150	CENSUS: 76	DATE:	01/12/2024
		UNANNOUNCED	TIME BEGAN:	09:26 AM
MET WITH:	Marie Jeenne R De Castro		TIME COMPLETED:	02:56 PM

ALLEGATION(S):

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Staff are not addressing an outbreak of scabies
Staff are allowing residents to wear other residents' clothing

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced subsequent complaint visit to determine the validity of the above-mentioned allegations. LPA met with Jeenne De Castro (Administrator) and explained the reason for the visit.

The investigation consisted of the following: LPA Lopez obtained copies of the resident and staff rosters, Public Health Rash/Scabies Outbreak notification dated 12/04/2023, skin sweep assessment for all staff and all residents except 3 residents that became agitated and refused. West Coast Wound and Skincare Assessments for staff and residents dated 12/12/2023, In-service sign in sheet for scabies and reportable diseases and conditions dated 12/05/2023, Scabies line list dated 12/13/2023. Labcorb examination results for 12 residents that required followed up dated. 12/08/2023, and copy of email from DPH allowing new admissions dated 12/18/2023

(continued on 809C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Lisa Hicks	TELEPHONE: (323) 981-3972
LICENSING EVALUATOR NAME: Alberto Lopez	TELEPHONE: 323-980-4926
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20231130123048

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: LAKEWOOD GARDENS	FACILITY NUMBER: 197606651
	VISIT DATE: 01/12/2024

NARRATIVE

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West Coast copy of letter to Public Health Nurse (PHN) that no evidence of scabies was found at facility dated 12/12/2023, and Letter addressed to LPA Lopez from West Coast FNP-BC, Jason Kreider confirming test results of no evidence of scabies. LPA toured the activity room and random rooms, and interviewed six staff including Administrator, Staff#1 - Staff#6 (S1 – S6), and Resident #11 - R#8 (R1 - R8), and 2 witnesses (W#1-W#2).

The investigation revealed the following:

Regarding the allegation. Staff not addressing an outbreak of scabies. It is alleged that facility has scabies outbreak. LPA contacted Los Angeles County Department of Public Health (DPH) to notify them of the allegation on 12/04/2023 and LPA had contact with assigned nurse (W1) from DPH on same date. DPH made visit to facility on 12/04/2023 and provided facility with list of actions for facility to take immediately. Facility complied with all the actions recommended by DPH including precautionary treatment for all staff and residents until results of test came back. On 12/06/2023 all residents and staff were provided with skin sweep assessment and scabies was ruled out for all staff and all residents tested. 3 residents refused test and were isolated and precautions taken according to Administrator. Six of Six staff interviewed stated that they do not have scabies symptoms and did not know of any residents or staff that had or have scabies symptoms. LPA interviewed and observed 8 residents (R#1- R#8) and all 8 residents could not collaborate the allegation and all 8 denied any itching or rash. LPA did not observe any residents or staff with rash. W2 which is family member stated they were notified of the allegation and kept up to date throughout the ordeal. There is no evidence that facility failed to address the scabies outbreak because there was not a scabies outbreak at facility. Therefore, this allegation is UNSUBSTANTIATED.

Allegation: Staff are allowing residents to wear other residents' clothing. It is alleged that staff are allowing residents to wear other resident’s clothing. LPA interviewed six staff S1 – S6 including administrator and they all denied the allegation. Administrator stated that all clothing is labeled with resident’s name to prevent other resident’s from using other resident’s clothing. Several staff stated that at times, residents will put on a piece of clothing that does not belong to them and staff will attempt to correct the issue and most of time will do it without further incident. 6 of 6 staff stated they do not allow residents wearing other resident’s clothing. LPA interviewed 8 residents and all 8 could not collaborate the allegations. LPA inspected random rooms and resident’s clothing and they all had the resident’s name on the clothing. W2 which is a family member stated that W2 has not noticed her love one wearing other’s clothing or other resident’s wearing resident's clothing. There is not evidence that staff is allowing residents to wear other resident’s clothing, therefore the allegation is UNSUBSTANTIATED.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview held and a copy of the report was provided.

SUPERVISOR'S NAME: Lisa Hicks	TELEPHONE: (323) 981-3972
LICENSING EVALUATOR NAME: Alberto Lopez	TELEPHONE: 323-980-4926
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2024

LIC9099 (FAS) - (06/04)

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