complaint·October 21, 2025

Report Continued from LIC 9099... It was alleged that facility staff are not adequately trained and have not received instructions from a professional to manage resident’s colostomy bag. It is the complainant’s concern that facility staff are draining resident’s colostomy bag daily; however, staff have not been trained by a licensed professional to properly drain the colostomy bag. During the visit on 08/29/2025, the LPA requested facility personnel records documenting staff training, including—but not limited to—training in colostomy care provided by a medical professional. However, no training records related to colostomy care were made available for review at that time. Further staff interviews revealed that caregivers had not received training from a medical professional prior to assisting the resident with draining their colostomy bag, and the facility did not have any training records on file related to colostomy care. On 09/12/2025, the LPA was provided with training records indicating that facility staff received colostomy care training from a medical professional on 08/29/2025 and 09/03/2025. However, this training occurred after staff had already been assisting resident with colostomy care. Based on the information obtained and reviewed during the course of the investigation, the Department has sufficient evidence to support the allegations of “facility staff are not adequately trained and have not received instructions from a professional to manage resident's colostomy bag”. Therefore, this allegation is deemed Substantiated at this time. The following deficiencies were observed and cited from the California Code of Regulations, Title 22. (See LIC 809-D). Exit interview was conducted. A copy of the report and appeal rights were provided.