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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603617
Report Date: 05/25/2023
Date Signed: 05/25/2023 11:08:17 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
02/06/2023 and conducted by Evaluator Ramon Serrano
COMPLAINT CONTROL NUMBER: 08-AS-20230206103404
FACILITY NAME:TORREY PINES SENIOR LIVINGFACILITY NUMBER:
374603617
ADMINISTRATOR:MCDONALD, JASONFACILITY TYPE:
741
ADDRESS:13101 HARTFIELD AVETELEPHONE:
(858) 259-2222
CITY:SAN DIEGOSTATE: CAZIP CODE:
92130
CAPACITY:125CENSUS: 86DATE:
05/25/2023
UNANNOUNCEDTIME BEGAN:
09:59 AM
MET WITH:Lizzie Dela FuenteTIME COMPLETED:
11:19 AM
ALLEGATION(S):
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Staff did not follow the infection control plan to minimize scabies outbreak

Facility staff did not provide sanitary supplies
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with Health and Wellness Director Lizzie Dela Fuente and we discussed the purpose of the visit and elements of the complaint.

Community Care Licensing (CCL) has investigated the above allegations. The investigation consisted of LPA direct observation, records review and interviews with facility staff, resident and outside agency.

It was reported to CCL that staff did not follow the infection control plan to minimize scabies outbreak. It was also reported that facility staff did not provide sanitary supplies. LPA visit to the facility on February 13, 2023 revealed sufficient personal protective equipment (PPE) including paper products. Staff interview on May 19, 2023 revealed they have worked at the facility for over ten years. Staff stated they trust that the facility would handle any infection control issue properly. Staff further stated that they have access to any and all PPE whenever it is needed.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Denise PowellTELEPHONE: (619) 767-2317
LICENSING EVALUATOR NAME: Ramon SerranoTELEPHONE: (619) 458-2583
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 08-AS-20230206103404
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: TORREY PINES SENIOR LIVING
FACILITY NUMBER: 374603617
VISIT DATE: 05/25/2023
NARRATIVE
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Records review revealed on February 8, 2023 skin checks were conducted on all of the assisted living residents as well as the memory care residents, with no confirmed diagnosis of scabies. Skin checks continued for memory care residents; February 8, 2023 through March 31, 2023 due to one confirmed case of scabies.

Outside agency interview on May 22, 2023 revealed that on February 13, 2023 facility staff contacted the outside agency for guidance and to report their scabies infection control plan. Outside agency stated that they conducted the intake and provided information to the facility. Outside agency further stated that they were informed by the facility that they conducted body checks prior to reporting. The facility also stated that they had planned possible isolation and had contact precautions in place for staff and residents. Outside agency stated that the facility had their infection control plan in place prior to contacting them.

Interview with Health and Wellness Director revealed Initially there was no confirmed diagnosis of scabies but every resident or staff that showed any form of rash was assessed accordingly and was given treatment as ordered by their doctors. The resident's primary care physician was notified as well as the responsible parties. The facility conducted weekly skin checks for six weeks for every resident in memory care due to one confirmed case of scabies being found there. The infection control plan was also reported to San Diego County Epidemiology. Director further stated that staff training was also conducted to remind staff to report any signs or symptoms of scabies. Every room and common area in memory care were cleaned and all laundry was also washed at the same time.

Interview with Executive Director (ED) revealed a complaint was issued by an outside agency approximately February 2023 which prompted the scabies investigation and infection control. Skin checks were conducted on all of the residents in both the assisted living and memory care units in the facility. ED further stated that both staff and residents were interviewed for possible signs or symptoms of scabies.

Based upon the foregoing, the above listed allegations are unsubstantiated. This finding means that the preponderance of the evidence standard has not been met and the allegations are not valid.

An exit interview was conducted with Lizzie Dela Fuente. A copy of this report along with licensee rights (LIC 9058, 3/22) was provided to Lizzie Dela Fuente whose signature below verifies receipt of these rights.
SUPERVISOR'S NAME: Denise PowellTELEPHONE: (619) 767-2317
LICENSING EVALUATOR NAME: Ramon SerranoTELEPHONE: (619) 458-2583
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2