Complaint Investigation Report

Several staff members specifically addressed the concern regarding the dark coloration on the bottom of R3’s feet and stated that this was not due to poor hygiene, but rather due to dye transfer from socks or from the inner soles of shoes when R3 did not wear socks.

Staff reported that R3’s clothing was clean and presentable, that R3 chooses his own clothing with assistance as needed, and that R3 is supported with his daily routine and attendance at their day program.

The Licensee/Administrator stated that there were no concerns regarding resident hygiene and that staff work closely together to ensure residents receive appropriate personal care and assistance.

Daily Notes for R3 for June and July 2025 were reviewed. The records consistently documented staff assistance with ADLs, including bathing, grooming, toileting, eating, and oral hygiene. Records also documented R3’s trips to the barber shop.

Daily Notes identified R3’s level of independence and when physical prompting or assistance was required, demonstrating ongoing monitoring and documentation of hygiene and personal care needs.

LPA Hayes observed individualized nail hygiene kits labeled for each resident, stored within a larger hygiene supply kit. The LPA observed four (4) photographs of R3 appearing clean and groomed during outings and at the facility, including a photograph of R3 at a park in which R3 appeared clean and well groomed.

The Responsible Party for R3 reported having concerns that R3 returned home with poor hygiene, including black soles of the feet, body odor, dirty hair, and long fingernails and toenails. The Responsible Party stated they believed that R3’s hygiene needs were not being met.

Per Day Program staff (DP1), R1 was consistently observed to be well dressed and well groomed. No concerns related to hygiene were observed. R1 appeared clean and appropriately maintained.

7 of 7 independent staff interviews consistently reporting that hygiene care is provided. Staff explanation that black discoloration was due to dye transfer from socks or shoe soles, not dirt.