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13 | On 11/7/2025 at 4:00PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct complaint investigation and to deliver complaint findings for the allegations above. LPA met with caregiver, Wilma Nacis and explained the purpose of the visit.
During the investigation, LPA interviewed 3 residents, 3 staff, and 2 witnesses. LPA reviewed and obtained documents including physician's report, care plan, and emergency information.
1. Facility staff do not change resident diaper as frequently as needed
Interview with witnesses and residents revealed that staff assist with diaper changes every 2-3 hours. W3 stated there was no issues for residents getting assistance with diaper changes. Interview with staff indicated that residents' diapers are changed 3-5 times a day.
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