374604103-7-22-2022-08-AS-JRAE-CHU37L-20220831180007

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604103
Report Date: 07/22/2022
Date Signed: 07/22/2022 09:06:09 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
04/07/2020 and conducted by Evaluator Iby Strong

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20200407162343

FACILITY NAME:	SIENNA AT OTAY RANCH SENIOR LIVING		FACILITY NUMBER:	374604103
ADMINISTRATOR:	MENDEZ, RUBY GOMEZ		FACILITY TYPE:	740
ADDRESS:	1290 SANTA ROSA DR		TELEPHONE:	(619) 550-4521
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91913
CAPACITY:	0	CENSUS: 0	DATE:	07/22/2022
		UNANNOUNCED	TIME BEGAN:	09:52 AM
MET WITH:	Report Mailed to Licensee via USPS Certified Mail		TIME COMPLETED:	09:53 AM

ALLEGATION(S):

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Facility is not properly treating scabies

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Iby Strong sent this report to former licensee's last known mailing address via USPS certified mail.

On April 7, 2020, Community Care Licensing received a complaint alleging facility is not properly treating scabies. Through records reviewed, LPA Strong found that the residents who were experiencing scabies-like symptoms were referred to their primary care physicians. Six residents were diagnosed with scabies by a medical provider between January of 2020 to April of 2020. The facility reported all six residents to their primary care provider in a timely manner. Other residents who reported similar symptoms were treated by their medical providers proactively but were not diagnosed with scabies. It was also found that management contracted a pest control company to rule out bed bugs and other possible infestations. This led to the facility being treated for flea activity as of April 2020.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: John Rante	TELEPHONE: (619) 994-7269
LICENSING EVALUATOR NAME: Iby Strong	TELEPHONE: 619-481-0846
LICENSING EVALUATOR SIGNATURE:	DATE: 07/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2022

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-20200407162343

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: SIENNA AT OTAY RANCH SENIOR LIVING	FACILITY NUMBER: 374604103
	VISIT DATE: 07/22/2022

NARRATIVE

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This is an amended report.

LPA Strong reviewed facility’s scabies procedures and found that all steps were followed, including cleaning, personal protective equipment use, isolation/quarantine, training on scabies deterrence and reporting to the local public health agency. Lastly, all staff that were experiencing any symptoms were referred to worker compensation medical providers.

Based on LPA's interviews and records reviews there is not a preponderance of evidence to prove alleged violation occurred, therefore the allegation is unsubstantiated. A copy of this report and Appeal and Licensee Rights (LIC 9058 01/16) were provided to the former Licensee, via USPS Certified Mail.

SUPERVISOR'S NAME: John Rante	TELEPHONE: (619) 994-7269
LICENSING EVALUATOR NAME: Iby Strong	TELEPHONE: 619-481-0846
LICENSING EVALUATOR SIGNATURE:	DATE: 07/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2022

LIC9099 (FAS) - (06/04)

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