complaint·March 3, 2026

Based on the information obtained, the preponderance of evidence is met; therefore, the allegation is substantiated. Deficiency is cited from Title 22 California Code of Regulations and listed on 9099D. Failure to submit proof of correction by plan of correction due date and any repeat violation within 12 month period may result in civil penalty. Deficiency and plan and proof of correction were discussed with ED. Exit interview conducted. Appeal Rights and a copy of this report provided. LPA Interviews with 16 residents did not reveal any instances in which their freedom of movement was restricted inappropriately. 16 out of 16 Residents stated they were able to move freely within the facility and access common areas consistent with their individual care plans. Allegation: Licensee does not ensure that residents are provided a healthful environment while in care - Unsubstantiated It was alleged that the licensee does not ensure that residents are provided a healthy environment while in care. During the investigation, LPA conducted interviews with 16 residents, 10 staff, reviewed facility records, and observed a display case with alcohol. Interviews with 11 residents did not indicate concerns regarding alcohol served at the facility, safety, or overall healthfulness of the environment. Resident 1 through Resident 11 stated, “Every Thursday, the facility has happy hours that offer us alcohol; however, facility staff never tried to sell any alcohol. R1 through R11 stated, “The facility offered alcohol to us; however, they based their decision on our medical records, and those who cannot drink were not offered.” S1, S2, and S3 stated, “We don’t ever charge for that; it was just part of our beverages that we offered”. LPA reviewed facility admission agreements; there was no indication of alcohol charges in the admission agreement. Allegation: Licensee does not ensure that the facility is kept in a sanitary condition – Unsubstantiated It was alleged that the licensee does not ensure that the facility is kept in a sanitary condition. Observations made by the LPA on 1/30/26 and 3/3/26 did not reveal unsanitary conditions, including accumulation of trash, odors, pests, or other conditions that would pose health risk to residents. LPA toured a random section of the random Memory Care (MC) apartment (APT) and Assisted Living (AL) apartments. LPA toured the MC and AL apartment, including but not limited to APT: 201, 202, 215, 225, 217, 222, 225, 505, 506, 502, 501, 316, and 133. All APTs are clean and sanitary. There is no odor in any of the apartments. Report continued on LIC 9099c1 LPA conducted 16 random selections of residents. 16 out of 16 residents interviewed did not report concerns regarding sanitation or cleanliness of the facility. LPA conducted 10 Staff interview and 10 out of 10 stated that routine cleaning schedules and sanitation practices are in place and followed to maintain a clean environment. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted and a copy of this report provided.