Complaint Investigation Report

On 10/08/2025, staff S1 was interviewed. Based on interview, S1 stated that R1 had to wear dirty clothing because they were short staffed and the caregivers didn’t have enough time to get through all the laundry. S1 states that sometimes they couldn’t get through all the laundry, and all the residents’ dirty clothes would pile up. S1 stated that the caregivers tried their best but sometimes it wasn’t enough time to complete the laundry.

On 10/08/2025, staff S2 was interviewed. Based on interview, S2 denied observing R1 wear dirty clothes. S2 stated that there were times when the resident’s dirty laundry piled up and knew it was an issue. S2 could not specifically recall R1’s laundry but stated that R1’s clothes were always changed if he/she got them dirty after a meal.

Based on a photograph dated 09/20/2024. RP provided of R1’s clothing, it’s observed that R1’s black t-shirt contained white spots throughout his/her shirt and larger white spots on the left side of the chest area resembling food or drink droppings. R1’s black shorts also contained white spots throughout his/her shorts and larger spots on the left side on his/her upper thigh area resembling food or drink droppings. RP provided a second photo dated 09/22/24 that showed R1 to have food or drink droppings on the left side of black shirt and food or drink droppings on left side of black leggings.

The Department has investigated the above allegations. Based on interview and observation the preponderance of evidence standard has been met; therefore, the above allegations are substantiated.

Deficiency is cited during today's visit based on California Code of Regulations (CCR) Title 22. An exit interview was conducted with Karen Nickolai, and a copy of the report and appeals rights was provided.