complaint·December 9, 2025

Staff are not giving residents a shower . During the course of the investigation, LPA conducted interviews and obtained documentation pertinent to the investigation. According R1's Individualized Assessment Form R1 should receive assistance with bathing 2 times per week. Upon review of the services received in August 2025, R1 received bathing assistance once during the first week of August, which did not meet the 2 times per week agreement. During staff interviews staff reported a caregiver was assigned a new AM shift and didn’t realize R1s shower was due during the AM shift on 8-1-25. Further review discovered staff stated on 7-25-25 the activities director covered for an AM call out shift. Staff stated resident showers were missed on 7-25-25 and the PM shift should have given the missed residents showers. Staff stated whichever hall you are assigned to that staff is responsible for all of the resident’s care needs including showers. During the resident interviews a resident stated I have missed other showers but can’t remember the dates. It was determined staff are not giving residents showers as individualized assessments require. Based on interviews and evidence obtained during the investigation, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22), is being cited on the attached LIC9099D. An exit interview was conducted. A copy of the report with appeal rights was provided to staff.