complaint·October 22, 2024

LPA interviewed: Administrator and a total of two (2) staff who shall be referred to as S1 and S2. LPA interviewed a total of 3 residents who shall be referred to as: R1 through R3. Due to Resident #4 through Resident #6 diagnosis LPA could not conduct interviews. LPA interviewed the responsible party for R1 and R4 who shall be referred to as Witness #1 and Witness #2 (W1 and W2). The investigation reveals the following: Regarding " Facility staff are not meeting resident's showering needs”. It is alleged that the facility placed a time limit on R1’s showers. According to R1 and W1, a meeting was held with the Administrator regarding R1 taking more than one (1) hour to the shower. The Administrator told R1 to start taking 40 minutes showers. R1 denied taking more than one (1) hour to shower. R1 stated they were also washing their face and taking care of their toileting needs. R1 and W1 further stated that there are times when staff are not in the bathroom when R1 is showering, and R1 felt it was unfair to include that in there “time limit”. R1 stated due to their unique health condition they do need a longer time in the shower. The Administrator stated they did not place a time limit, but came up with an agreement with the resident and their family. Based on resident interviews, it was determined that R2 does not take showers, but sponge baths. In the interview with R3, they stated that they were independent and conduct their own sponge baths without the assistance of staff. S1 stated they were not there during the meeting with family, but only one (1) resident takes a sponge bath, and the other residents are showered daily. S2 confirmed R1 not only takes showers, but also uses the toilet. S2 further confirmed leaving R1 in the bathroom for no more than 15 minutes whenever another resident needs assistance. LPA concluded that all residents do not require the same amount of time, and reviewed R1’s Physicians Report stating “keep perineal area clean and dry” due to medical condition. Based on LPA observation, interviews and file review, the preponderance of evidence standard has been met, therefore the above Allegation is found to be SUBSTANTIATED. California Code of Regulation, Title 22 are being cited on the attached LIC9099D. Exit Interview Conducted with Administrator/ Appeal Rights Provided / A Copy of the Report Issued.