Complaint Investigation Report

Allegation: Staff do not ensure resident’s privacy.

The reporting party (RP) stated that at night around September 2025, resident (R1) was going to the big building in the facility to take a shower, and R1 observed staff (S2) giving bath to resident (R2). R2 was naked and the bathroom door was open while S2 was giving R2 a bath.

All residents except R1 stated not observing any staff giving bath to residents with bathroom door open. R1 stated observing S2 giving bath to R2 one night with bathroom door open.

One of the staff does not provide care giving while the other one stated not providing assistance with bathing to residents. S2 who works NOC shift stated he does not give bath to residents including R2 at night and that residents are given bath during the day. The rest of the staff interviewed indicated when they provide assistance with bathing they close the bathroom door. Due to medical condition, LPA was not able to obtain information from R2. Therefore, the allegation is close as unsubstantiated.

Allegation: Staff are not meeting residents’ dietary needs.

The reporting party (RP) stated R1 has been forced to eat meat but due to religion, R1 cannot eat meat or use animal products due to R1 itches when eating and/or touching animal products.

Review of records showed R1 was seen by a doctor due to itching but After Visit Summary didn’t indicate to avoid and/or not eat animal products. LIC602A Physician’s Report didn’t indicate any food allergies or other type of allergies.

On 10/07/25, R1 stated that when he moved-in, he told the staff that he prefers vegetarian food but he turned vegan around 10/2025, because whenever he eats something with meat and meat bi-products, he itches. At first, the staff told him 'maybe' and later was offered vegetarian diet but it's not totally vegetarian because they still put meat on it. Around first week of October 2025, the cook told him he can buy his own food and the cook will prepare for him b ut S7 told him that he should no t be bothering the cook which S7 denied telling R1. ........continued on 9099C