complaint·April 30, 2026

Continued from LIC9099... Allegation: Staff do not ensure that an appropriately skilled professional performs resident's glucose tests. It was alleged that staff do not ensure that an appropriately skilled professional performs resident's glucose tests. Interview with 4 of 5 staff members stated that only skilled professionals are the ones performing the glucose test. Interview with ADM stated that there are nurses that work 7 days a week until 10:30 PM that can perform the glucose test and assist with other duties. However, interviews with 4 of 7 residents all stated that aside from the nurses, S2 or S4 will do the glucose tests for them. Based on record review, S2 and S4 are not skilled professionals and are not able to perform glucose monitoring tests. Based on interviews and record review conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8), is being cited on the attached LIC 9099D. Allegation: Staff did not assist resident with obtaining medication. It was alleged that Staff did not assist resident with obtaining medication. A review of email correspondence showed that Family Member 1 (FM1) sent an email to the facility’s email address that R1’s medication was ready on 04/17/2026. FM1 sent a follow email on 04/21/2026 and 04/23/2026 to see if the medication was picked up. Interview with ADM revealed that a staff member picked up the medication on Thursday, 04/23/2026. Interview with S4 showed that S4 talked to FM1 regarding the medication ready to be picked up at the pharmacy, but S4 did not pick it up until the following day. During today’s visit, LPA observed the medication bottle with a note that it was started on 04/23/2026. Based on interviews and record review conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8), is being cited on the attached LIC 9099D. Exit interview was conducted with Administrator. A copy of this report and Appeal Rights was provided. Continued from LIC9099-A... Allegation: Staff do not follow resident's dietary plan. It was alleged that staff do not follow resident's dietary plan. Interview with S3 revealed that S3 has a list in the kitchen of residents who are on special diets. During today’s visit, LPA observed that the kitchen has different plates for residents that is specified to their special diet. Interview with 4 of 7 residents all stated that they are receiving meals that are specific to their dietary plan that can include either low sugar, low sodium, or lactose free diets. Interview with 7 of 7 residents all indicated that they have no issues with the food that are being served to them. Based on interviews and observations conducted, the above allegation that staff do not follow resident’s dietary plan is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. There is no deficiency noted. Exit interview was conducted with Administrator, and a copy of this report was provided.