Complaint Investigation Report

*Amended report to change complaint findings*

R1’s feet were extremely swollen and had turned the colors black, purple, and red. This discoloration covered the entirety of R1’s toes and lower foot, extending up the entire outer side of their foot to their ankle. R1’s toenails appear not to have been groomed as evidenced by nail overgrowth and yellow crusty substance covering toenails. During investigation, LPA interviewed staff, staff reported to LPA that they noticed that R1 and R2 needed help with grooming, R1 didn't know how to verbalize needing help, and the staff would help R1, but not with as much care as R1 needed. Staff reported to LPA that staff let the licensee know that R1 needed help with better grooming, staff told licensee many times; however, staff reported that the licensee would acknowledge it and then brush it off, no action ever taken. On 1/3/25 LPA was present in facility and noticed R1 has a strong smell of urine. Staff advised LPA that R1 refuses to shower. Caregiver notes log not present. Based on LPA’s interviews, observations and photographic evidence, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 Chapter 8, are being cited on the attached 9099D.