Complaint·August 6, 2025

The investigation revealed the following: Allegation 1: Licensee did not ensure bathroom was in good repair. It was alleged bathroom, is not working for days and they have not ask someone to come fix it. On 07/17/2025 at 10:45am - 10:54am, LPA interviewed A1. A1 who denied the allegation, stated she is not aware of any recent issues with R1's bathroom and residents can report to the front desk where a work order is placed and maintenance will complete the order. Between 8:51am - 10:06am, LPA interviewed 10 staff the regarding the allegation: 2 of out of 10 staff confirmed the allegation. 7 out of 10 staff denied the allegation. 1 out of 10 staff were unsure of the allegation. Between 9:49 AM - 10:59 AM, LPA interviewed 9 residents: 8 out of 9 residents denied the allegation. 1 out of 9 residents unsure or unaware of the allegation. On 07/17/2025 at approximately 1:03pm and on 08/06/2025 between the hours of 11:09am - 11:29am LPA conducted a tour with S9 of the following rooms 118,135,208,211,237,247,283,285 and 306 & observed the following: the sink, shower and toilet are operable and in good repair . On 07/17/2025 at approximately 1:30pm, LPA conducted a records review of the work order (created on 06/25/2025) and did not observe any documentation to support the allegation. Based on interviews conducted, records review and observation there is no evidence to support the allegation, therefore the allegation is UNSUBSTANTIATED. Allegation 2: Licensee did not ensure required notices were visibly posted in the facility. It was alleged that the facility its just plain walls with no emergency information or telephone. On 07/17/2025 at 10:45am - 10:54am, LPA interviewed A1. A1 who denied the allegation, stated the required posting are publicly visible in the common areas of the facility which is a standard protocol. Between 8:51am - 10:06am, LPA interviewed 10 staff regarding the allegation: 10 out of 10 staff denied the allegation. Between 9:49 AM - 10:59 AM, LPA interviewed 9 residents: 3 out of 9 residents confirmed the allegation. 4 out of 9 residents denied the allegation. 2 out of 9 residents were unsure or unaware of the allegation. On 07/17/2025 between the hours of 8:35am -8:40am, LPA conducted a tour of the facility with S8 and observed in the main lobby area posted on the wall are following: the facility license, the Emergency Disaster Plan for Residential Facilities, the Long Term Ombudsman contact information (also posted on the 2nd floor in the library area which was observed during the tour by LPA with S9 on 08/06/2025 between the hours of 11:09am - 11:28am), and the California Department of Social Services Community Care Licensing Division Centralized Complaint & Information Bureau contact information. Report continues on LIC 809-C On 08/06/2025, between the hours of 11:09am - 11:28am, LPA conducted a tour with S9 and observed a working telephones at the front desk, the first and the second floor of the facility which are easily accessible for all residents to use. Based on interviews conducted and observation there is no evidence to support the allegation, therefore the allegation is UNSUBSTANTIATED. Allegation 3: Staff did not allow resident to leave their room. It was alleged the facility won't let resident out of the room. On 07/17/2025 at 10:45am - 10:54am, LPA interviewed A1. A1 who denied the allegation, stated residents are only restricted from common areas in the event that a resident is on isolation due to testing positive for COVID. Between 8:51am - 10:06am, LPA interviewed 10 staff the regarding the allegation: 10 out of 10 staff denied the allegation. Between 9:49 AM - 10:59 AM, LPA interviewed 9 residents: 9 out of 9 residents denied the allegation. Between the hours of 8:35am -8:40am, LPA conducted a tour of the facility and observe residents throughout the facility in common area. Upon records review, R1 is diagnosed with dementia as stated in R1's - LIC 602A Physician's Report for Residential Care Facilities for the Elderly (RCFE). On the LIC 602 under Section 14. Mental Condition it states (k). Able to Leave Facility Unassisted is check of NO. Based on interviews conducted and observation there is no evidence to support the allegation, therefore the allegation is UNSUBSTANTIATED. On 07/17/2025, LPA attempted to interview Resident #1 (R1) who declined to be interviewed about the three allegations. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted with Suzette Johnson (Administrator) & copy of the report was provided.