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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342700077
Report Date: 04/06/2021
Date Signed: 04/06/2021 11:28:29 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
FACILITY NAME:COURTE AT CITRUS HEIGHTS, THEFACILITY NUMBER:
342700077
ADMINISTRATOR:DAVIS, KAYLAFACILITY TYPE:
740
ADDRESS:6825 SUNRISE BLVDTELEPHONE:
(916) 721-0644
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY:48CENSUS: 29DATE:
04/06/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:49 AM
MET WITH:Martin Nichols, Executive DirectorTIME COMPLETED:
11:25 AM
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On 04/06/2021 Licensing Program Analyst (LPA) Jasmine McCrory contacted the facility via phone to conduct an unannounced visit to follow-up on information received from the facility on 03/26/2021 via email. The visit was conducted via telephone due to COVID-19 and precautionary measures. LPA spoke with Martin Nichols, Executive Director (ED) regarding the incident.

The email on 03/26/2021 indicated that the facility had a scabies outbreak with two (2) confirmed cases of scabies in the building. LPA conducted follow-up telephone visits on 03/27/2021 and 03/29/2021.

During today's telephone call, LPA interviewed the ED. The interview with the ED indicated residents still have a red appearance on the skin which is visibly healing. For preventative purposes the facility Medical Director prescribed all residents a topical medication for scabies treatment.
However, eleven (11) residents were diagnosed with scabies although, the facility did not conduct skin scrapes. The ED has notified Sacramento County Public Health Department, every resident’s Responsible Party was notified, and Primary Care Physicians were notified via fax.

For precautionary measures all residents have had their clothes suffocated for seven (7) days and washed with hot water. The chemical used for furniture treatment is the Lysol brand specifically created for scabies. All furniture was cleaned, and any fabric covered chairs were moved out of the building and will not be moved back in until 04/10/20201 after the final scabies treatment. 04/10/2021 is day fourteen (14) of treatment and residents will be administered the final prescribed topical skin treatment for scabies.

At this time, no deficiencies are cited.



A copy of this report has been emailed to the facility and the Executive Director was advised that a signed copy of the report shall be submitted to CCLD within 10 days of receipt of this report.
SUPERVISOR'S NAME: Laura MunozTELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Jasmine McCroryTELEPHONE: (916) 214-5020
LICENSING EVALUATOR SIGNATURE:

DATE: 04/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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