complaint·February 24, 2023

Page 2 On this day, 2/24/23, Anthony Garcia stated that they are in the process of hiring Memory Care Services Coordinator. Based upon interviews, ,the Department has found the allegation as substantiated. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Allegation: Facility has pests. It was alleged that rats are being found in the dining room and kitchen, and have chewed through the boxes of emergency food supply stored in the basement. On 12/01/21, LPA conducted inspection, and observed mouse droppings in the food storage, and canned food with small bites on the labels LPA interviewed staff S1 on that same day who stated that food supplies has to be moved from large to small storage due to rat infestation. Based upon interview and inspection, the Department has found the allegation is substantiated. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Allegation: Facility is not conducting fire drills as required. It was alleged that the facility has not conducted a fire drill in over 6 months. On this day. 2/24/23, LPA obtained copies and reviewed fire drill records in facility's file which showed dated 9/22/22, 10/27/22 and 1/27/23. LPA also interviewed Resident Services Director Joanne Nisperos who stated they only started doing fire drills when Anthony Garcia became the Executive Director. Based upon interview and record review, the Department has found the allegation as substantiated. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. ...continued on 9099C (page 3) Page 3 Allegation: Facility is unsanitary It was alleged that trash is overflowing in all of the buildings, in the stairwells and the trash chutes. On 12/01/21, LPA conducted inspection, and observed on the lowest level on the stairwell in Memory Care unit a shopping bag with soiled diapers. used disposable gloves and soiled pads. Based upon inspection, the Department has found the allegation as substantiated. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Deficiencies are cited from Title 22 California Code of Regulations and listed on 9099Ds. Failure to submit proof of corrections by plan of correction due dates, and any repeat violation within 12 month period may result in civil penalty. Deficiencies and plan and proof of corrections were discussed with Anthony Garcia. Exit interview conducted. Copy of this report, Appeal Rights and LIC9098 Proof of Correction form provided. On 12/01/21, LPA interviewed Ruth Ocon, the Executive Director at that time who stated that front door lobby was not locking about 6 months ago from the day of interview. It was fixed and worked for about a month and got broken again. On that same day and on this day, 2/24/23. LPA tested the door by pushing the bar for the disabled to push to open the door, and observed was working properly. On 12/01/21, staff was interviewed who stated that it's been working and that she was told that the door is locked at night. On 2/24/23, Anthony Garcia was interviewed who stated that the door has an alarm that is automatically activated at certain hour at night. Copy of record obtained showed that the sprinkler system, kitchen hood system, and exhaust were serviced on 10/17/22. LPA inspected the kitchen vents and hood on 2/24/23 which were observed clean. Based on interviews, records review and inspection conducted, the Department has investigated the above allegation and found as unsubstantiated. A finding that the complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. Allegation: Staff allow resident to smoke inside the facility. It was alleged that there's a resident (R1) in AL unit that constantly smoke inside her room. On 12/01/21, LPA interviewed R1 who stated she smoked inside her room, but when the staff discovered, she quit smoking. Allegation: Staff are not properly trained. It was alleged that staff do not have the required training such as dementia training and mandated reporter training. On 2/24/23, LPA asked for staff records and copies of staff training, ED provided copies of training that were download from the computer, however, records do not show the number of required training. Based on records review conducted, the Department has investigated the above allegation and found as unsubstantiated. A finding that the complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. No citation issued. Exit interview conducted and copy of this report provided.