Complaint Investigation Report
Regarding the allegations that “Staff do not ensure residents are bathed” and “Staff leave residents in soiled clothing for extended periods of time,” the complaint alleged that residents were left unbathed, remained in the same clothing for several days, and were provided showers or clean clothing only when family members visited. During the investigation, LPA reviewed facility progress notes, admission records, and bathing schedules. Facility records showed that the facility maintains a set bathing schedule for residents who require assistance with personal care. The schedule reflects that residents who need assistance are scheduled to be bathed twice per week and may also be bathed upon request. LPA reviewed the current bathing schedules for March 2026 and April 2026, which corroborated the statements provided by the residents interviewed regarding bathing assistance. LPA also interviewed staff and residents regarding bathing schedules, care needs, toileting assistance, and personal hygiene. Six out of six staff members interviewed denied the allegations; also, six out of six residents interviewed denied the allegations and did not report being denied bathing assistance or being left in soiled clothing. Furthermore, during the tour, LPA did not observe conditions that would support the allegations. LPA conducted resident interviews in the residents’ respective living areas and did not detect odors associated with incontinence. LPA observed that the residents appeared well-groomed, and sufficient hygiene supplies were observed in the residents’ restrooms.
Based on interviews conducted, records reviewed, and observations made during the investigation, the Department did not obtain sufficient corroborating evidence to support the allegations. Although the allegations may have happened or may be valid, the preponderance of evidence standard was not met. Therefore, the allegations are Unsubstantiated.
An exit interview was conducted with Administrator Susan Lee, and a copy of this report was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction