complaint·August 21, 2025

...continued from LIC9099. Facility is not clean and sanitar y The pest control report from Advanced IPM dated March and April revealed that the kitchen drains, clogged sink in break room, and water heater room were unsanitary that could attract flies, roaches, and other pests. W1 report ed and provided photos from 04/07/25 of a clogged toilet with what appeared to be urine; the bathroom floor had soiled medical chucks with fluids that had run onto the floors and into the crevices. Deficiency cited and civil penalties were issued on 08/14/25. A comfortable temperature is not maintained for the residents at the facility LPA, S1 and S3 inspected the thermostat at the facility, and recorded 65 degrees Fahrenheit (F) on the north wing and 66 degrees F on the south wing. S1 presented a portable thermostat that displayed 72.8 degrees F. S1 stated that there were times when the exit doors were left open by the residents and the surge of outside air affected the temperature inside the building and oftentimes the staff constantly reminded the residents, and the residents still forgot to close the doors. Although the temperature regulatory standards both thermostats affixed to the walls were inoperable or unable to be adjusted. Deficiency cited and civil penalties were issued on 08/14/25. Disinfectants and poisons are not inaccessible to residents LPA arrived unannounced on 04/08/25, observed a green grocery shopping cart in the hallway near room #11 that was used to transport linens and all-purpose cleaning supplies (what appeared to be a cleaning solution in a Fruit Punch container and Fabulosa). The cart was unattended near room #11. When S4 appeared, LPA asked S4 was she/he housekeeping and S4 replied yes. S1 stated that S4 was cleaning and that he/she had spoken to the staff before about leaving the cleaning items unattended. W1 reported and provided photos from 04/07/25 of disinfectants accessible to residents. Facility is not providing a weekly menu for residents in care S1 provided LPA the following written statement, “We do not post an alternative menu, but we do cater to residents’ requests if the served menu is not appropriate to them. The cook gave a list of alternative meals readily available upon request to W1. This list is now posted in the dining room.” LPA requested copies on the weekly menu from S3 and there was not a record kept on file for 30 days. Continued on LIC9099C... ...continued from LIC9099C. Facility did not give written notice of a rate increase LPA reviewed facility records and Admission Agreements for R1, R2, R3, R4 and R5. Page 4, 8. Rate Change, A. states “The agreement must inform the resident of the conditions under which rates may be increased and provide no less than 60 days prior written notice to the resident’s responsible person.” S1, S3 and W1 confirmed that residents were not given a 60 day notice for rate increases. Facility toilets are in disrepair W1 reported and provided photos from 04/07/25 of a clogged toilet with what appeared to be urine; the bathroom floor had soiled medical chucks with fluids that had run onto the floors and into the crevices. S1 stated that the toilet was repaired on 04/07/25. Deficiency cited and civil penalties were issued on 08/14/25. Based on LPA’s observations, interviews and records reviewed, the preponderance of evidence standard has been met; therefore, the above allegations are SUBSTANTIATED . Deficiencies are cited from Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of corrections by plan of correction due date, and any repeat violations within a 12-month period may result in civil penalties. Exit interview conducted, appeal rights and a copy of this report provided. ...continued from LIC9099A. Facility is not providing alternative foods for religious and cultural beliefs On 04/22/25, LPA and S3 toured the kitchen and observed a variety of canned and fresh vegetables, fruits, proteins, juices, milk, and water. LPA reviewed the lunch menu that offered cheese pizza, chili beans, corn, mixed vegetables, pineapple, yogurt, milk, juice and coffee that was appropriate for a variety of cultural and religious backgrounds and food habits of residents. Facility is not assisting residents with incontinence care W2 reported that R1’s hygiene needs weren’t being met. R1 needs moderate assistance when using a shower chair, does not have any diagnoses of Dementia or need for bed care; R1 is able to leave the facility unassisted, and can care for his/her own toileting. R5's care log dated April - March 2025 recorded refusals for showers, and when R5 was able to manage their own incontinence. Records revealed that R2, R3, and R4 can care for their own toileting. Facility does not have appropriate number of showers for residents in care Although a toilet was in disrepair, the facility had at least one bathtub or shower for each ten (10) persons that was able to provide personal accommodations and services, which included residents, family and live-in personnel. Based on LPA’s observations, interviews, observations, and records reviewed, the allegations are UNSUBSTANTIATED . The finding that the complaint is unsubstantiated means that the allegations are not valid because the preponderance of the evidence standard has not been met. Exit interview conducted, and a copy of this report provided to Norma Tejero, Administrator.