Complaint·November 3, 2025

Regarding the allegation, client's hygiene needs are not met by staff, according to the reporting party, Client 1 (R1) is supposed to be assisted to shower once a week, but sometimes does not receive assistance for more than a week. During the investigation, LPA interviewed staff and reviewed R1's file and documentation. According R1's assessment reviewed from July of 2025, R1 requires total dependence with bathing and has a difficulty understanding the need to take a few showers a week. Based on R1's current service plan dated September 12, 2025, R1 requests to have showers two times a week. In addition, service plan states staff remind R1 to take a shower almost every day but R1 always states he/she will tomorrow or ask for a male caregiver to assist, however when a male caregiver is available to assist, R1 refuses to shower. Based on shower logs and shift reports reviewed the past two months, it is documented that R1 was refusing showers when staff attempted to assist him/her or will shower once a week instead of twice a week. According to staff interviewed, R1 used to refuse showers in the past because he/she was weak and scared to be in the shower, however even though staff assured R1 that there will be two staff assisting, R1 still refused showers. In addition, interviewed staff indicated that R1 is now showering twice a week; Mondays and Thursdays. Regarding the allegation, staff violated client's personal rights, according to the reporting party, staff (name unknown) said something disrespectful to R1 in another language and attempted to put hands on him/her. No further information is forthcoming. During the investigation, LPA interviewed R1 and interviewed staff. According to staff interviewed, R1 has not mentioned anything about a staff saying something disrespectful to him/her or a staff attempting to put his/her hands on R1. The administrator indicated that there was an alleged incident that occurred last year and it has already been investigated. According to R1, the incident happened a year ago where Staff 1 (S1) was in the hallway and used profanity in a different language (not directly at R1), and when R1 yelled to S1 that he/she understood, S1 came into R1's room and pushed R1 in the chest lightly. No residents or other staff witnessed this incident. LPA interviewed S1, who indicated that he/she did not say anything disrespectful to R1 and never put his/her hands on S1. R1 stated that both him/her and S1 are really good friends now and there are no issues with S1. There is conflicting information between alleged staff and R1. Based on interviews conducted, records reviewed, and observations, the department has determined that although the above allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are UNSUBSTANTIATED. Report is reviewed with administrator and a copy is provided with appeal rights.