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R1 is still able to toilet and bathe on their own, monitored and prompted by staff. During the facility visit, the Licensing Program Analyst (LPA) observed that R1 went to the bathroom alone with a brief check-in from staff. R1 was able to complete their task independently. Finally, an interview with an outside source (OS) who cares for R1 while at their medical appointments revealed that they have observed that R1 has been clean when picked up for their appointments and the OS does not believe there are hygiene issues with R1.
Regarding nail care, an interview with the RR revealed that due to illness on two occasions from R1 and the RR, a podiatrist appointment was cancelled in January 2026 and the next available appointment was scheduled for tomorrow, March 3, 2026. LPA also observed on the facility board that R1’s podiatrist appointment was listed on the board for this date. There was not enough evidence to corroborate this allegation.
It was also alleged that staff do not meet resident’s diaper needs. Specifically, it was alleged that staff do not provide extra diapers for R1 when they attend their weekly medical appointments three times per week. An interview with S1 revealed that when R1 started attending these appointments in September of 2025, S1 sent extra diapers with the resident. When R1 was dropped off at the facility after the appointment, S1 stated that the diapers were returned by the outside agency care staff and it was indicated that they were not needed. S1 also stated that from September 2025 to present, no one from the outside agency that assists R1 has indicated that R1 needed extra diapers. Finally, an interview with the RR and with the Licensee also revealed that they were never made aware that R1 needed extra diapers for these appointments. The RR also stated that they were very content with the care services provided at the facility and does not believe that this is due to negligence. During the Department facility tour, the Licensing Program Analyst (LPA) observed that the facility was very clean, the residents rooms were organized and R1 had diapers available in their bedroom. There was not enough evidence to corroborate this allegation.
Due to a lack of corroborating evidence, the allegation that staff do not maintain R1’s hygiene and that staff do not meet R1’s diapering needs are unsubstantiated. Although the allegations may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violations occurred, therefore, the allegations are unsubstantiated.
An exit interview was conducted with care staff Ana Karen Cobos. A copy of this report, along with Licensee/Appeal Rights (LIC9058 3/22) was provided. The signature below confirms the receipt of these documents.
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