complaint·March 17, 2026

Allegation: Staff embarrassed and humiliated a resident. It is alleged that on February 25, 2026, during the Town Hall meeting the Health & Wellness Director embarrassed and humiliated resident (R1) in front of residents and staff in attendance by responding inappropriately to the resident's concern regarding staff not putting away incontinence wipes in the closet. Resident (R1) stated the staff member's response was humiliating and dismissive. Based on staff and resident interviews, during the town hall meeting R1 addressed to Administration staff concerns brought up during the previous week's resident council meeting. For instance, R1 informed Administration staff that staff had been leaving incontinence wipe packs on the floor, and expressed that staff should put them away in the closet to afford residents dignity. The findings indicate that the Wellness Director's response was inappropriate because they told R1 that family should assist with that, and that care staff are not obligated to do things for residents that they are not paying for. Interviews revealed, that R1 felt humiliated and began to cry in front of all in attendance. Therefore, the allegation is supported. Based on observation and interviews conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . Pursuant to Title 22, California Code of Regulations, a deficiency was cited. An exit interview conducted, copy of the report and appeal rights was provided to Executive Director Chanel Sanchez. Allegation: Staff did not afford a resident privacy. It is alleged that overnight staff did not afford R1 privacy because they entered the room to take out the bathroom trash in the middle of the night, but the resident is independent and does not require night checks. A total of 11 residents were interviewed. Resident (R1) stated the overnight staff person entered the room without permission, did not check on the resident, and collected the bathroom trash and left, which caused sleep disturbance. A total of 10 residents were interviewed, of which 3 residents stated that staff enter the rooms at night to empty out the trash, and it disturbs their sleep. All staff denied the allegation. They stated that there was a recent incident in which a medication technician staff covered an overnight shift, and they checked in on all residents, and took the trash out of the rooms. Staff stated night shift are responsible for checking in on residents that require night checks due to incontinence care and/or other needs, and respond to call lights, and clean. All staff stated the aforementioned incident was an isolated incident, and staff always knock prior to entering a resident's room and always respect resident's privacy. There is insufficient evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated . Exit interview conducted with Executive Director Chanel Sanchez. A copy of the report was issued.