Complaint Investigation Report

Regarding the allegation "Facility is not meeting the resident's hygiene needs", it was alleged that residents are not being cleaned properly after a recently implemented procedure to use a bucket of soapy water and paper towels to clean residents following a bowel movement instead of personal cleansing wipes (baby wipes). Interview with Dr. Knox reported the soapy water and paper towel procedure was discussed with staff but had yet to be implemented. During today's visit, LPA observed white plastic buckets labeled with each resident's name in either a bathroom or in the resident's room on the night stand. Facility staff showed LPA the paper towels and soap which they use for this procedure. Three (3) of four (4) staff interviewed reported the use of paper towels and soapy water is not efficiently cleaning the residents and paper towels are too rough for this procedure. One (1) staff interviewed reported the use of personal cleansing wipes would kill germs and soapy paper towels would not. Three (3) residents were interviewed but were unable to effectively communicate with LPA.

Based on LPA’s observations, interviews conducted, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation are found to be substantiated. California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099-D.

An exit interview was conducted and a copy of this report was provided along with LIC811- Confidential Names list and Appeal Rights.