Complaint Investigation Report

The investigation revealed the following: Interviews with Administrator and three (3) out of three (3) Staff 1-3 (S1-S3) stated no clients at the facility required assistance with showering. Staff 1 and Staff 2 (S1-S2) both state that assistance with showering would be provided if C1 wanted assistance but that C1’s repeated verbal request to have a “Nurse” assist with a shower is a behavior not something that C1 actually wants. S1-S2 stated shower assistance is offered to C1 but C1 refuses staff assistance and goes to the bathroom to bathe independently. C1 stated to have the desire to have a “Nurse “help C1 with showering. Clients 2-6 (C2-C6) stated shower assistance was not required by staff, but C2-C6 felt staff assistance would be provided if assistance by staff was requested. LPA reviewed C1’sPhysican’s Report and Needs and Services Plan and per these documents dated 08/01/2025, C1 does not require assistance with showering. Per C2 ‘s Physician’s Report dated 01/24/25, C2 does not require assistance with showering. During facility visits, LPA did not observe either C1 or C2 presenting with odor. LPA observed the showers to be operational. The investigation did not reveal any evidence to support the staff are not assisting clients with bathing.

Regarding Allegation: Resident did not have clean clothes . It is alleged that client 1(C1) and client 2 (C2) do not have clean clothes to wear and that C1 had to turn C1’s underwear inside out because C1 did not have clean underwear. It is also alleged that C2 often wears the same clothes and that C2’s clothes do not appear clean. The investigation revealed the following: LPA interviewed C2-C6 and each client stated the facility made available to clients in care, a washer and dryer and sufficient laundry soap to ensure the clients could do clients own lanundry and have clean clothes available for clients to use. LPA interviewed C1, however, C1 did not respond to LPAs question on whether C1 had clean clothes to wear and if C1 has the ability to launder C1’s own clothes. C2 stated in interview with LPA that C2 had clean clothes and underwear available to wear. During facility visits, LPA observed available clean clothes in the drawers, closets and bags of C1-C8’s rooms. LPA observed C1 had clean clothes and underwear in C1’s bags and closet and also observed C1 doing a load of laundry while LPA was conducting the visit. LPA observed the washer and dryer were operational. The investigation did not reveal that clients were not provided with clean clothes.

Based upon LPA record review, observations and interviews, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are UNSUBSTANTIATED .

Exit interview conducted with House Manager Luz Brillantes and a copy of this Licensing Report was provided.