Complaint·May 6, 2025

In interviews with staff, it was found that R1 is regularly incontinent yet does not notify staff for assistance and attempts to clean up on their own and R1 is, at times resistant to assistance. In November 2024, as was acknowledged by staff interviews, R1’s behavior of not disclosing their incontinence and poor communication/ coordination of emptying R1’s trash and laundry lead to R1’s room to be malodorous. Communication and documentation procedures have since been put in place to remediate the issue. As a result of this investigation, LPA finds allegation to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care. Report and appeal rights provided. As a result of this investigation, LPA finds allegation to be (US)Unsubstantiated - A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview with administrator.