Complaint Investigation Report

A review of documentation including body/skin check and other observation forms indicate that facility staff have performed routine observation checks for R1 during the months of August, September and October 2025. A review of photographs indicated R1 sustained rashes on his armpit area between October 5-28 2025. Photograph revealed redness on the armpit area on the date of 10-5-2025. An additional photograph revealed this same rash as a brighter visual of redness on 10-28-2025. A further review of body check forms as noted above revealed that these rashes were not included as an observation. Interviews conducted revealed redness was observed in the armpit area prior to worsening conditions, but not revealed on body check forms. Additionally, a review of R1’s physician orders did not reveal a specific treatment medication or treatment plan for these specific rashes. Licensee was unable to provide additional evidence to conclude the specific rashes were treated timely for purposes of treatment.

As a result, the preponderance of evidence standard is met, and this allegation is SUBSTANTIATED. Citation is issued under Title 22, Division 6, and noted on LIC 9099D. A civil penalty in the amount of $250 is issued in addition to citation due to repeat violation of Section 80078(a) within a 12-month period. An exit interview was conducted with Administrator and a copy of this report was provided. LIC 811 and Appeal rights provided.