374602972-7-24-2025-08-AS-APAO-DKX7EK-20250826213605

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374602972
Report Date: 07/23/2025
Date Signed: 07/24/2025 02:53:37 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/17/2025 and conducted by Evaluator Liliana Silveira

COMPLAINT CONTROL NUMBER: 08-AS-20250717102536

FACILITY NAME:	PLAZA VILLAGE SENIOR LIVING		FACILITY NUMBER:	374602972
ADMINISTRATOR:	SHETLER, MARIA		FACILITY TYPE:	740
ADDRESS:	950 L AVE		TELEPHONE:	(619) 474-4844
CITY:	NATIONAL CITY	STATE: CA	ZIP CODE:	91950
CAPACITY:	85	CENSUS: 63	DATE:	07/23/2025
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Executive Director Megan Amy Moore and Wellness Director Monie Harris		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Staff are not mitigating the spread of scabies in the facility.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Liliana Silveira conducted an unannounced visit to conduct a complaint investigation visit and to deliver findings. LPA Silveira introduced themselves, disclosed the purpose of the visit and was granted entry into the facility by Executive Director Megan Amy Moore. Wellness Director Monie Harris.

The Department’s investigation consisted of observations, interviews and a records review. On July 17, 2025, it was alleged that staff are not mitigating the spread of scabies in the facility. It was specifically alleged that Resident #1 (R1) obtained the illness from another resident and that more residents had contracted scabies due to the facility not treating the scabies correctly.

Interviews with the Executive Director (ED) and the Wellness Director (WD) revealed that the first documented case of scabies was R1 and currently, they are the only active case. (CONTINUED ON NEXT PAGE, LIC 9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Liliana Silveira
LICENSING EVALUATOR SIGNATURE:	DATE: 07/23/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2025

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 08-AS-20250717102536

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: PLAZA VILLAGE SENIOR LIVING	FACILITY NUMBER: 374602972
	VISIT DATE: 07/23/2025

NARRATIVE

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(CONTINUED FROM PAGE 1, LIC 9099)
Interviews with three (3) care staff revealed that R1 has had a difficult time isolating themselves as part of the scabies infection control protocols and R1 goes out into the community often. A records review revealed that R1 currently has prescribed medications to treat the illness and interviews with three (3) care staff revealed that staff are assisting R1 with their treatment plan.

Interviews with care staff and Outside Source #2 (OS2), who advocates for Resident #2 (R2), also revealed that R2 had contracted scabies due to living in proximity to R1. R2 has completed their treatment and isolation period and no longer has the illness. The interviews also revealed that Resident #3 (R3) also completed an isolation period and has not contracted the illness. There are no other cases of scabies.

A records review conducted on July 23, 2025 revealed that the facility has an Infection Control Plan and a specific scabies subsection to address the illness. An interview with the Wellness Director revealed that they were able to describe the infection control plan to address scabies and how it has been implemented at the facility. Interviews with three (3) care staff also revealed that staff were properly trained on how to use PPE, how to do laundry under scabies infection control protocols and how to disinfect frequently touched surfaces. During a Department tour of the facility it was observed that the facility had a good supply of PPE and PPE was placed at the entrance of R1, R2 and R3’s bedrooms. There were also two washing machines on this floor and one was designated specifically for R1’s laundry.

Due to a lack of corroborating evidence, the allegation that staff are not mitigating the spread of scabies is unsubstantiated. Although the allegation may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violation occurred, therefore, the allegation is unsubstantiated.

This report was discussed with Megan Amy Moore and Monie Harris. A copy of this report, along with Licensee/Appeal Rights, (LIC 9058 03/22) were provided. Signature below acknowledges receipt of the documents.

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Liliana Silveira
LICENSING EVALUATOR SIGNATURE:	DATE: 07/23/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2025

LIC9099 (FAS) - (06/04)

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