Complaint·September 12, 2025

Licensing Program Analyst (LPA) Katie Brown arrived unannounced to conduct the initial complaint investigation at the facility. LPA met with and explained the reason for the visit with Martin Valenzuela (S1). Administrator (AD) Heidi Setty was contacted and authorized S1 to meet with LPA and sign the report. During this visit, LPA Conducted a record review, interviewed staff, toured resident apartments in Memory Care (MC) and observed residents in common areas of the MC wing of the facility. This Department investigated the allegations above: Resident (R1’s) Service Plan dated 4/19/25 states R1 requires standby assistance with set up for grooming and other hygiene related Activities of Daily Living (ADL) and R1 often refuses care and assistance. R1’s grooming and hygiene items were observed in R1’s room. Interview with staff confirm R1 often does not want to brush teeth or take a shower. Pictures of R1’s teeth were submitted for the purpose of this investigation. Based on interview and record review the above allegations are UNSUBSTANTIATED. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur. There were no citations issued. An exit interview was conducted and a copy of this report was provided.