Complaint Investigation Report

Investigation Finding: It was reported to the department that the facility may have a pest infestation due to the bugs found on C1’s body and hair. S2 stated that S4 checked C1’s room for bugs, including bed bugs, and none were found. Interview with S3 revealed that S4 checked for beds bug, found no bugs, but C1’s room was treated as a precaution. Interview with S4 stated that C1’s room was checked, there was no bugs, but the room was treated by Clark Pest Control for safety as a precaution. Clarke is scheduled to come out to the facility weekly to spray for bugs. LPAs received a copy of the pest control report which shows no pest issues at the time.

Allegation: Staff did not ensure resident's hygiene needs were met

Investigation Finding: It was reported to the department that C1 was admitted to the hospital and had bugs in hair and was being treated for body lice. C1’s shoes were stuck to feat due to dried blood. C1 moved to the facility March 2025, and has been eaten by the bugs during stay. Interview with S1 revealed that the facility does not have hands on caregivers, however hygiene supplies are supplied to all residents, and each resident is expected to take care of own hygiene. The facility offers classes on self care. Clients are responsible for their own laundry, and have access to laundry services twenty four hours a day. The facility also has a monthly on-site spa day, in which clients can get hair, nail and feet care for free. S2 reported seeing red and flaky skin on C1, and asked C1 if S2 could see C1’a ankles. C1 declined. S2 called S1 and asked what to do. S2 stated that C1 is not conserved and was homeless, living in a shelter, and not keeping up with hygiene. C1 was provided hygiene supplies and offered to attend spa days. C1 mainly stayed in C1’s room and care staff would take food to C1. Once C1 expressed pain, the facility called non-emergency at 1:00 AM to transport C1 to the hospital. S3 reported that C1 was provided with hygiene supplies such as soap, shampoo, toothpaste, shaving supplies, and towels. The facility encourages clients to attend life skills training, which covers basic hygiene. C1 was admitted to the facility without clothes. The facility bought C1 clothing. C1 changed clothes once during stay, and lived in the facility for four to five months.