Complaint Investigation Report

Regarding the allegation stated above LPA conducted a walkthrough of the facility along with a walkthrough of Resident’s #1 for the purpose of the allegation regarding “Facility is not maintained sanitary. During the walkthrough of Resident #1 room LPA observed that Resident #1 restroom was unsanitary. LPA observed that the toilet seat in resident’s restroom was smeared with feces in addition, LPA observed that the bar of soap, along with other beauty products that were sitting on the restroom vanity were smeared with feces. LPA continued the walkthrough into Resident#1 bedroom throughout the walkthrough LPA observed Resident #1 laundry basket to be in unsanitary and soiled. LPA also observed that resident’s shoes were all soiled with feces.

Third allegation: Staff do not ensure that facility is maintained in good repair. Regarding the allegation stated above, LPA conducted an interview with Resident #1 family member who informed LPA that as of 11/21/2025 facility ceiling was in disrepair. Family informed LPA that the facility has not placed floor signs to alert staff and residents concerning the wet floor. In addition, R#1 family member informed LPA that the facility placed trash cans and towels across that hallway. On 11/24/2025 LPA conducted an announce visit to address the concerns pertaining to facility ceiling being in disrepair. LPA conducted a walkthrough and observed that the ceiling located on the second floor was in disrepair. Staff #2 informed LPA maintenance is aware; however, management could not provide LPA with a work order request for ceiling repairs.

Fourth allegation: Staff do not provide residents with housekeeping services. Regarding the allegation stated above LPA conducted a walkthrough of Resident #1 bedroom for the purpose of “Staff not providing residents with housekeeping services”. The walkthrough was facilitated by Staff #1, During the walkthrough LPA observed that Resident #1 restroom was unsanitary. LPA observed that the toilet seat in resident’s restroom was smeared with feces in addition, LPA observed that the bar of soap, along with other beauty products that were sitting on the restroom vanity were smeared with feces. LPA informed S#1 regarding housekeeping services Staff #1 informed LPA that housekeeping services are provided daily and Resident #1 has fecal incontinence. LPA informed S#1 that Resident #1 may need a re-appraisal and require assistance with toileting. Based on the evidence gathered during the investigation, the above allegations are Substantiated. A finding that the complaint is Substantiated means that the findings are valid because the preponderance of the evidence standard has been met. Title 22 regulations Maintenance and Operation 87303 (a), Personal Rights of Residents in All Facilities 87411 (a) (2) & (3), Incidental Medical and Dental Care 87465 (1)(B)(2), from division 6, chapter, article 6, is, cited on the attached LIC 9099 D. An exit interview was conducted where this report, appeal rights, and LIC9099-D was discussed, and a copy of the report was provided to the Facility Office Manager Lizeth (Lisa) Gomez, at the conclusion of the visit.