complaint·July 16, 2025

Allegation: Staff did not provide designated smoking areas for the residents Investigation Finding: Substantiated During investigation, LPA confirmed with staff (ADM) and reporting party (RP) that all 43 residents (7 positive and 32 negative residents) were confined to their rooms due to a COVID-19 outbreak lockdown which started on 05/08/25 until 06/05/25. Approximately 11 to 12 residents who smoke cigarettes had their right to smoke taken away from them by staff as part of the COVID-19 lockdown period (05/08/25 until 06/05/25). Based on LPA’s observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) that staff did not provide designated smoking areas for the residents was found to be substantiated. Allegation: Staff did not have planned activities for the residents Investigation Finding: Substantiated During investigation, ADM and third-party witness (W1) confirmed with LPA that due to the COVID-19 outbreak that started on 05/08/25, staff suspended all common area activities for all 43 residents (7 positive and 32 negative residents) which included smoking in the smoking post outside areas, watching TV and relaxing in the living room / garden areas. Staff confined all 43 residents inside their rooms with no planned activities offered while in isolation from 05/08/25 until 06/05/25. Based on LPA’s observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) that staff did not have planned activities for the residents was found to be substantiated. Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of correction (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties . Exit interview conducted. Appeal Rights and a copy of this report provided. Allegation: Staff yell and mistreat the residents while in care Investigation Finding: Unsubstantiated During investigation, LPA conducted interviews with reporting party (RP), random residents (R1, R2, R3) and staff (ADM). RP stated that several residents (names unknown) expressed fear of asking anything other than their daily meals and medications due to staff yelling at them and treating them indifferently. LPA interviewed random residents (R1, R2, R3) who stated that staff are OK and do not mistreat or yell at them. ADM stated that she has not observed any staff mistreat or yell at any residents at the facility. During unannounced visits on 12/10/24, 06/05/25, 07/16/25, LPA observed staff did not yell or mistreat any residents when assisting them with their activities of daily living (ADLs). Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that staff yell and mistreat the residents while in care is unsubstantiated. Allegation: Staff use inappropriate language towards the residents Investigation Finding: Unsubstantiated During investigation, LPA conducted interviews with reporting party (RP), random residents (R1, R2, R3) and staff (ADM). RP stated that several residents (names unknown) said that staff are rude and curse at them when requesting assistance. LPA interviewed random residents (R1, R2, R3) who stated that staff assist them with their needs, give them their daily meals/snacks/drinks and medications without cursing at them. ADM stated that she has not observed any staff curse at any resident at the facility. During unannounced visits on 12/10/24, 06/05/25, 07/16/25, LPA observed staff did not curse at residents when assisting them with their activities of daily living (ADLs). Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that staff use inappropriate language towards the residents is unsubstantiated. Exit interview conducted and a copy of this report provided.