Regarding Allegation: Resident did not have clean clothes. It is alleged that client 1(C1) and client 2 (C2) do not have clean clothes to wear and that C1 had to turn C1’s underwear inside out because C1 did not have clean underwear. It is also alleged that C2 often wears the same clothes and that C2’s clothes do not appear clean. The investigation revealed the following: LPA interviewed C2-C6 and each client stated the facility made available to clients in care, a washer and dryer and sufficient laundry soap to ensure the clients could do clients own lanundry and have clean clothes available for clients to use. LPA interviewed C1, however, C1 did not respond to LPAs question on whether C1 had clean clothes to wear and if C1 has the ability to launder C1’s own clothes. C2 stated in interview with LPA that C2 had clean clothes and underwear available to wear. During facility visits, LPA observed available clean clothes in the drawers, closets and bags of C1-C8’s rooms. LPA observed C1 had clean clothes and underwear in C1’s bags and closet and also observed C1 doing a load of laundry while LPA was conducting the visit. LPA observed the washer and dryer were operational. The investigation did not reveal that clients were not provided with clean clothes.

Based upon LPA record review, observations and interviews, although the 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 allegations are UNSUBSTANTIATED.

Exit interview conducted with House Manager Luz Brillantes and a copy of this Licensing Report was provided.

On 04/20/26, LPA conducted additional interviews via telephone with Administrator and Staff #3(S3). House manager Luz Brillantes faxed LPA the following documents: Pharmacist led Medication training dated 02/07/24 for S2 and Refresher First Aid training dated 03/12/26 for Administrator, 03/18/26 for S1,03/16/26 for S2 and 03/20/26 for S3.

Regarding Allegation: Staff does not meet job qualifications. It is alleged that unqualified staff supervise clients and are dispensing medications. The investigation revealed the following: Administrator and staff (S1-S3) interviewed stated that staff are trained and qualified to perform work duties. Interview with Administrator and S1 revealed that training for direct care staff had not been properly documented in the staff personnel files. Five (6) out of six (6) clients interviewed, C2-C6, stated that staff was qualified and staff did staff’s job correctly. C1 did not respond to LPA’s questioning. LPA reviewed staff medication training, S1 and S2 administer medications to clients. S1 and S2 have been provided with medication training by a Licensed Pharmacist. Staff had criminal background clearances on file. LPA reviewed personnel files and found that personnel files for S2 and S3 did not contain documentation of initial and ongoing training for direct care staff. Additionally, review of First Aid training for Administrator and S1-S3 revealed that Administrator and S2-S3 did not have a First Aid Certificate in their file and the First Aid certificate for S1 was expired. First Aid training refresher course for Administrator and S1-S3 was conducted on the following dates 03/12/26, 03/18/26, 03/16/26 and 03/20/26. Administrator produced documentation that staff have prior work experience as caregivers/meal preparation. The investigation did not reveal that staff are unqualified.

Regarding Allegation: Staff is not assisting with showers. It is alleged that staff are not assisting clients with showers, when C1 requests staff assistance with showering, staff do not assist C1. C1 is showering twice a week due to not being assisted by staff, this is causing C1 to present with odor. It is also alleged that C2 is unwashed.