Complaint Investigation Report

Staff did not wear gloves when changing residents’ diapers

It was alleged that the facility had run out of gloves and staff were being directed to simply wash their hands between assisting residents with brief changes.

LPA interviewed six (6) current and former staff members and no staff had any knowledge of a time when the facility was out of gloves, nor had they ever been directed to not use gloves when changing residents briefs. Two (2) staff mentioned that gloves were being kept in the med room at the facility and new staff may have not know the location of supplies

LPA observed a supply order list for the previous three months that showed boxes of gloves being ordered in all sizes for the facility. During an inspection of the facility on July 25, 2025, LPA observed multiple boxes of gloves in the facility for staff use.

Although the allegation may have happened, the preponderance of evidence has not been met, and the allegation is therefore UNSUBSTANTIATED. Exit interview conducted and a copy of this report was provided to Administrator, Bailey Malagon.