complaint·May 28, 2025

Allegation: Facility is malodorous Investigation Finding: Substantiated On 05/28/25 at 1PM, LPA toured the facility with ED and inspected common areas, kitchen, dining room, living room and 5 random bedrooms on the first and second floors (Rms#114A,117A, 119A, 205A, 208A/B). LPA smelled strong bad (feces) odors upon entry into Rms#117A and 119A. The smell of urine was also observed on the first floor common hallway. LPA observed poor ventilation inside the facility with musky odors in common areas, bedrooms and bathrooms. 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) was found to be substantiated. Allegation: Facility is unsanitary Investigation Finding: Substantiated On 05/28/25 at 1PM, LPA toured the facility with ED and inspected common areas, kitchen, dining room, living room and 5 random bedrooms on the first and second floors (Rms#114A,117A, 119A, 205A, 208A/B). LPA observed dirty floors, walls and baseboards in common areas, dining room and living room. 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) was found to be substantiated. Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of corrections (POCs) by plan of correction due dates 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 via email Allegation: Staff did not ensure the facility was kept free of pests Investigation Finding: Un substantiated On 05/28/25 at 2PM, LPA interviewed staff (S1, S2, S3) who stated that dementia resident (R1) called the police on 05/21/25 complaining about ants and roaches in his room. Staff (S1, S2, S3) stated that police arrived at the facility around 5PM on 05/21/25 and conducted a health check with R1 and inspected his bedroom. Staff stated police did not see any ants or roaches inside R1's bedroom or on his person. S2 confirmed with LPA that she was on duty that day and did not observe any ants or roaches on R1 or inside his bedroom. 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 did not ensure the facility was kept free of pests is unsubstantiated. Allegation: Staff are not properly trained Investigation Finding: Unsubstantiated During investigation, LPA reviewed staff’s training records from 01/01/25 until 05/01/25 which showed staff completed 20 hours of annual training which included reporting requirements, observation of residents and how to address residents’ changes in condition. Based on records review, interviews conducted, and observations made, the department has investigated the above allegation that the staff are not properly trained and found it to be unsubstantiated. 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 are not properly trained is unsubstantiated. Exit interview conducted and a copy of this report provided.