Complaint·January 31, 2024

The investigation revealed the following: Allegation: Facility is retaining resident(s) with higher level of care needs On 8/21/2023 LPA Shirley reviewed the facility file at the El Segundo Office. LPA Shirley noted that facility does not have dementia care as part of its plan of operation. On 8/23/2023 LPA Shirley reviewed facility files at facility listed above. LPA observed that the file for R1 contained the following documents which listed dementia as a diagnosis: Preplacement Appraisal Information, dated 7/19/22 and Physician’s Report for Residential Care Facilities For the Elderly, dated 7/19/22. R1’s Needs and Services plan, dated 8/4/2022 page 2 states, “Provide escort and reminders to and from activities” and an Elopement Risk Assessment signed 6/8/23 which indicated R1 was an elopement risk. LPA Shirley conducted a walkthrough of the facility and found that there is no secured perimeter. LPA interviewed Staff1-Staff 8 and asked if facility had a memory care unit. Of those interviewed, 7 out of 8 stated the facility does not have a memory care unit. Based on interviews, file review, and tour of facility there is sufficient evidence to support the allegation: “Facility is retaining resident(s) with higher level of care needs”. The facility does not have an approved dementia care operation, nor do the facility premises have a secured perimeter. The preponderance of evidence standard has been met, therefore the above allegation(s) is found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 6 are being cited on the attached LIC 9099D.