374603156-11-30-2022-08-AS-SJAB-CLNV2R-20221130150333

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603156
Report Date: 11/29/2022
Date Signed: 11/30/2022 08:36:46 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. CAL AC/SC, 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
07/28/2021 and conducted by Evaluator Daniel Pena

COMPLAINT CONTROL NUMBER: 08-AS-20210728155853

FACILITY NAME:	SENIOR CARE & COMFORT LIVING		FACILITY NUMBER:	374603156
ADMINISTRATOR:	LOGALLA, BRANDON		FACILITY TYPE:	740
ADDRESS:	1019 GREENFIELD DRIVE		TELEPHONE:	(619) 334-3775
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92021
CAPACITY:	6	CENSUS: 2	DATE:	11/29/2022
		UNANNOUNCED	TIME BEGAN:	03:30 PM
MET WITH:	Brandon Logalla, Administrator		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

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- Facility did not address a scabies infestation
- Facility did not seek medical care for a resident with scabies

INVESTIGATION FINDINGS:

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On 11/29/2022, at approximately 3:30 PM, Licensing Program Analyst (LPA) Daniel Pena, conducted an unannounced visit to the facility to conclude a complaint investigation. LPA was met at the entrance by Administrator, Brandon Logalla. After identifying himself and displaying his department identification, LPA was allowed inside the facility. LPA met with Mr. Logalla with whom the elements of the complaint were discussed.

It is alleged that the facility did not address a scabies infestation nor seek medical care for a resident with scabies. The Department’s investigation consisted of facility visits, record reviews, and interviews with staff, residents and outside sources.

During a complaint investigation visit to the facility on 8/5/2021, LPA observed and contacted four residents who were present. Interviews and records reviewed revealed that a fifth resident had been discharged and admitted to the hospital prior to LPA’s visit. LPA noted that two of the four present residents had rashes.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Daniel Pena	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 11/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/29/2022

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-20210728155853

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. CAL AC/SC, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: SENIOR CARE & COMFORT LIVING	FACILITY NUMBER: 374603156
	VISIT DATE: 11/29/2022

NARRATIVE

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LPA asked one of the residents what the rashes were. This resident had a rash on their legs and feet and said they were diagnosed with scabies. The resident told LPA they were receiving medical treatment for the scabies.

The other resident had a rash on their arms hands and legs. This resident said the affected areas itched badly but they did not know where or how they received the condition. This resident said they were prescribed a medicated lotion but ran out. The resident said facility staff provides them with aloe vera lotion for the itching until the resident can get their prescription refilled. LPA’s observation of resident bedding and interviews did not reveal the presence of bed bugs or other insects. Following this visit, LPA contacted an outside source and obtained a statement regarding the former resident (R1) who had recently discharged from the facility. The outside source reviewed R1’s medical records during the interview with LPA. Records showed that R1 was admitted to the hospital on 7/27/21 to treat a rash caused by scabies, chronic dehydration and confusion. Per the outside source’s review of R1’s medical chart, the Administrator at Senior Care and Comfort Living had called the hospital numerous times in attempts to get R1 medical treatment. The notes indicated that facility staff also tried to contact R1’s relatives to ask them to assist as well. Per the notes, facility staff reported to the hospital that R1 had been increasingly confused and not taking care of themselves. The outside source records reflected that the facility administrator requested medical aid for R1. The outside source said R1 was demonstrating self-neglect caused by diagnosed dementia. The outside source said this is likely the reason for R1’s dehydration. When asked, the outside source said R1’s chart showed no record of abuse or neglect when they were admitted to the hospital on 7/27/21. Staff interviews and record reviews revealed that at least two former and present residents were diagnosed with scabies. Records and interviews confirmed that the residents received medical treatment for their conditions.

As to the allegation that the facility did not address a scabies infestation, the Center for Disease Control (CDC) website describes Scabies as appearing with red rash-like markingshttps://www.cdc.gov/parasites/scabies/gen_info/faqs.html). CDC also states, “the most common symptoms of scabies are intense itching and a pimple-like skin rash.” It should be noted that the CDC states that scabies is not controlled by a pest control treatment, but with an insecticidal lotion prescribed by a physician, along with laundering of bedding and clothing. Based upon interviews, the residents affected by scabies were receiving or awaiting refill of medication to address their conditions. Interviews also revealed that facility staff offered non-prescription lotion to residents for the itching upon request.

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Daniel Pena	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 11/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/29/2022

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20210728155853

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. CAL AC/SC, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: SENIOR CARE & COMFORT LIVING	FACILITY NUMBER: 374603156
	VISIT DATE: 11/29/2022

NARRATIVE

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The Department has investigated the allegations address a scabies infestation and did not seek medical care for a resident with scabies. Based on the information obtained during the course of this investigation, insufficient evidence was obtained to support the allegations. Therefore, the findings are determined to be Unsubstantiated. Although the allegations may have occurred or could be valid, there is not a preponderance of evidence to prove they occurred.

An exit interview was conducted with Administrator Logalla and a copy of this report along with Licensee/Appeal Rights (LIC 9058 01/16) were provided and Mr. Logalla’s signature on this form confirms receipt of these reports.

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Daniel Pena	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 11/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/29/2022

LIC9099 (FAS) - (06/04)

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