Complaint Investigation Report
Facility staff did not ensure that resident's private parts are cleaned thoroughly when changed:
On 09/28/2025, LPA interviewed the facility Director of Nursing (DN). DN stated that the caregivers provide proper incontinence care with soap and water during changing of adult briefs especially when resident has a bowel movement. DN stated caregivers provide proper incontinence care using incontinence sanitary wipes if they have episodes of urine incontinence and caregivers will change the resident with new adult briefs. DN stated caregivers check/change resident R1's diaper every two hours.
LPA interviewed 2 caregivers who have taken care of resident R1. Both caregivers stated they wash R1 if they find feces on the diapers when they change R1's diaper. Both caregivers stated they wipe R1 if they find urine on the diaper when they change R1's diaper. Both caregivers stated they check/change R1's diaper every two hours.
LPA interviewed R1's family member (FM), POA of R1. FM stated he/she visits R1 3 to 4 times per week. FM stated he/she changes diaper for R1 whenever he/she visits R1. FM stated he/she never saw feces, urine or not clean in R1's private area when he/she changes R1's diaper. FM stated the facility staff change R1's diaper every two hours.
On 10/01/2025, LPA interviewed executive Director (ED) Aidah Tayag. ED stated resident R1 is always kept clean and in hygiene. ED stated R1 receives diaper change every two hours and after toileting. ED stated caregivers wipe R1 if urine was found on the diaper when changing R1's diaper. ED stated caregivers wash R1 if found feces on the diaper when caregivers change R1's diaper.
ED stated caregivers call Med Tech, Nurse, or management to assist if R1 refused to change diaper.
LPA interviewed a hospice care nurse (N1). N1 stated he/she comes on site to take care of R1 every week. N1 stated hospice care aide comes on site to help R1 for showers, hygiene, changing diapers every Wednesday and Friday. N1 stated the facility provides good care to R1.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction