Complaint Investigation Report

Facility not meeting hygiene needs. - SUBSTANTIATED

It was reported that three clients have long, unkempt toenails.

LPA reviewed photographs of three clients feet. The photographs show Client 2 (C2) and Client 3 (C3) have long toenails and Client 1 (C1) has extremely long toenails. LPA reviewed LIC602 Physician's Report for C1 which shows that C1 has lived in the facility for slightly more than six weeks. C1 resided in a sister facility licensed by the same licensee prior to living in this facility.

Administrator stated that after the condition of C1's toenails were brought to their attention, C1 was taken to Urgent Care who then referred C1 to a podiatirist who denied the referral. C1 was then taken to ER for treatment. C1's toenails were trimmed in the ER on 08/26/2025. The administrator gave C2 and C3 their own set a clippers and both clients have trimmed their toenails and are satisfied with the results.

It was determined that C1 has been lving at the facility for more than 6 weeks and staff did not ensure that their toenails were properly taken care of. This allegation is substatiated.

Based on interviews and evidence obtained during the investigation, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22), is being cited on the attached LIC9099D. Appeal rights were provided. Exit interview conducted and a copy of the report was provided to administrator Larry Tanner.