complaint·August 30, 2023

At approximately 8:30AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct an investigaiton into the above allegations. LPA met with Executive Director Charmin Bailey, toured the facility, reviewed records and conducted interviews. LPA reviewed resident care plans and Hospice documentation and found several residents requiring two person assists. LPA reviewed staffing schedules and found certain shifts that did not have proper staffing to meet resident needs. LPA observed memory care only had 1 staff scheduled on certain days. Based on the Departments investigation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with Charmin Bailey and Appeal rights were given.