complaint·November 6, 2025

CONTINUE OF LIC9099 Allegation: Staff do not treat residents with respect Investigation Finding: Substantiated Witness 1 reported that the facility staff doesn’t treat the clients with respect. During the investigation, while conducting a tour of the facility, the LPA observed staff speaking to a client in a disrespectful manner. Interviews with clients revealed that staff had, on occasion, used inappropriate language (cursing), spoken disrespectfully to clients, and displayed negative attitudes towards clients. Additionally, it was reported that some staff members raised their voices and became visibly upset instead of maintaining a calm and professional attitude towards clients. Therefore, this allegation is Substantiated. Allegation: Facility is malodorous Investigation Finding: Substantiated Witness 1 reported that the facility is malodorous. During the investigation LPA toured the facility and confirmed the presence of a malodorous smell. Staff interviews revealed that the facility is aware of the issue and working to address it. Staff also reported that the odor my be caused by clients saving cigarette butts or not maintaining proper personal hygiene. Client interviews indicated that staff often attribute the odor to clients hygiene habits. Some clients reported that the smell also originates from the bathroom area, as certain clients have been using the floor instead of the toilet, clients also stated that it’s a house with 6 guys and the place is not expected to smell the best. Therefore, this allegation is Substantiated . CONTINUE FROM LIC9099 Allegation: Staff do not ensure residents’ hygiene needs are met Investigation Finding: Substantiated Witness 1 reported that staff do not ensure clients’ hygiene needs are met. During the investigation, the LPA toured the facility and observed that the supply of hygiene products was insufficient for the number of clients in care. The facility inventory included two small travel-size toothpastes, six bars of soap, and no shampoo, lotion or powder. Interviews with staff confirmed that the facility has limited hygiene supplies available. Staff also reported that clients buy their own hygiene supplies. Interview with clients confirmed and further supported that hygiene products are not consistently provided by the facility. Therefore, this allegation is Substantiated. Based on the Department’s investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED . California Code of Regulations, Title 22, are being cited on the attached LIC9099D. Exit interview conducted. A copy of this report and appeal rights provided. CONTINUE FROM LIC9099A Allegation: Staff do not ensure the residents’ clothes are clean Investigation Finding: unsubstantiated Witness 1 reported that the facility is not ensuring that clients’ clothes are clean. LPA toured the facility and witnessed where the laundry is washed. Interview with staff revealed that the clients wash their clothes two to three times a week. Interview with clients revealed that the clients wash their clothes about 3 times a week. Therefore, this allegation is Unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation that staff did not give medications as prescribed is unsubstantiated. No deficiencies observed during visit. Exit interview conducted and a copy of this report provided.