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13 | Licensing Program Analyst (LPA)Tiffany Holmes contacted the facility to deliver findings for a complaint investigation via tele-virtual. LPA identified herself to, and explained the purpose of the visit and the basic elements of the complaint with Lelani Sams, Administrator.
During the investigation, LPA Domingo collected pertinent resident records on 09/23/2025 as well as recevied facility documentation. LPA Holmes was reassigned the complaint on 02/17/2026 and conducted interviews with staff, residents and outside sources.
It was alleged that the staff do not ensure resident's hygiene needs are being met. Interviews revealed that the clients have a daily regimen of showering. Interviews revealed the staff cannot force or make the clients take showers. Interviews revealed that yes Client 1 (C1) smelled of urine and body odor because they refused to shower. C1 could not be interviewed at this time due to being incarcerated. C1s placement plan stated C1 requires heavy verbal prompting to complete showering as this
is a non-preferred task for C1. They do not shower and wash thoroughly and has reportedly let the water run at the home and not use soap. C1's current placement reports that they have gone consecutive days without bathing. Records also revealed C1's hygiene is poor and they requires several verbal prompts to also brush their teeth. C1 struggles to maintain good oral hygiene. Records and interviews also revealed that C1 does not change their undergarments for consecutive days.
Based on the evidence obtained from interviews, the complaint allegation is unsubstantiated. The allegation is not valid because the preponderance of the evidence standard has not been met.
An exit interview was conducted with Lelani Sams Administrator via facetime and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided at the conclusion of the visit. |