Complaint Investigation Report

once a week or as often as needed. Based on observation, besides the sheets that were on the beds, the facility owned five (5) fitted sheets, several flat sheets, and two (2) of the fitted sheets was for a bed size that wasn’t present at the facility. LPA observed one (1) sheet that was stained and had to be discarded.

Allegation: Staff do not assist resident with grooming

R1 was admitted into the facility 2/13/2013. Review of the admission agreement indicated that at the time of admission R1 was able to self-groom. RP stated during interview that R1’s hair was not washed and R1 was wearing a dirty shirt. On the functional capability assessment and the appraisal needs and services plan dated 8/2/2023 it indicated R1 was not capable of self-grooming. S1 stated that a caregiver would groom R1. LPA reviewed pictures that were submitted and observed R1’s nails were long and had dirt underneath. The pictures also displayed R1’s hair unkempt.

Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D.

Exit interview conducted. A copy of the appeal rights and this report provided.