Complaint Investigation Report

Staff does not ensure facility is kept free of mal odors.

LPA Adkinson observed the bedroom of resident R1 to be malodorous. LPA did not enter the bedroom, however, could smell what appeared to be feces from the door way. Assistant Administrator stated staff only touch R1’s belongings, including his door/doorknob, using gloves because he has issues with smearing feces and hiding feces in his room.

During staff interviews, S4 stated R1 has behaviors when poo falls out of pants and other clients step in it. S4 stated we have created a cleaning chart with a cleaning schedule. S4 stated staff have a schedule to inspect and clean after R1 uses the bathroom and laundry area. S4 stated it has been an ongoing issue with R1 toileting behaviors. S1 stated we have created a token chart where R1 earns tokens when he cleans up after himself or avoids accidents. S1 stated staff sign off to earn Dutch bro. or outings. S1 stated R1 is motivated by community activities. S1 stated R1 behaviors bring anger frustration to other clients.

The administrator stated the cleaning is continuing to progress as new issues come up, we have a cleaning program in place.

Resident interviews revealed that R3 stated every time I come home from work it smells. R3 stated there has been fecal matter in the bathroom, in the bathtub and on the floor in the hallway.

Based on investigation observations, record review(s) and interviews which were conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated . California Code of Regulations, (Title 22), is cited on the attached LIC 9099D. Appeal rights were explained and provided to the facility