Complaint·April 9, 2026

The investigation revealed the following: Allegation: Staff did not keep facility free of vermin. It is alleged that the facility has a rat problem as rat feces have been observed at the facility. On 04/01/26 and 04/09/26 LPA conducted Interviews with R1-R10 regarding the allegation above. 8 of the 10 residents interviewed denied the allegation above, 2 of the 10 residents interviewed confirmed the allegation above. 10 of 10 residents interviewed confirmed that the facility is getting treated by pest control. On 04/01/26 and 04/09/26 LPA conducted interviews with S1-S6. 4 of the 6 staff interviewed denied the allegation above, 2 of 6 staff interviewed confirmed the allegation above and reported seeing mice at the facility. 5 of the 6 staff confirmed that pest control services is coming out to service the facility. 1 of the 6 staff interviewed reported having no knowledge of pest control servicing the facility. On 04/01/26 LPA observed pest control to be servicing the facility at the time of the visit. On 04/01/26 LPA conducted a review of pest control service report dated: 3/25/26. Per the report, 20 rooms were serviced, interior and exterior inspected and baited, no activity found, EZ snaps are inspected each time facility is serviced, sanitation conditions listed as Fair. On 04/09/26 while LPA walked down facility hallway LPA observed a live cockroach. Based on LPAs observations and interviews which were conducted record review(s), 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 (8) are being cited on the attached LIC 9099D. Division (6) and Chapter (8) are for RCFE Exit interview conducted, appeal rights explained, and a copy of this copy is provided. The investigation revealed the following: Allegation: Staff left resident in a soiled diaper for a long period of time. It is alleged that resident in care is left in a soiled diaper as staff are not using residents’ diapers located in residents dresser. On 04/01/26 and 04/09/26 LPA conducted Interviews with R1-R10 regarding the allegation above. 6 of the 10 residents interviewed denied the allegation above and reported they change themselves when soiled. 3 of the 10 residents interviewed denied the allegation above and reported they have not been left soiled as staff are assisting. 1 of the 10 residents interviewed confirmed the allegation above and reported being left soiled a few times by staff. Additionally, 7 of the 10 residents interviewed denied needing assistance with incontinence care, 3 of the 10 residents interviewed confirmed needing assistance with incontinence care. On 04/01/26 and 04/09/26 LPA conducted interviews with S1-S6 regarding the allegation above. 2 of the 6 staff interviewed reported being unaware of the allegation above, 2 of the 6 staff interviewed denied the allegation above, 2 of the 6 staff interviewed confirmed the allegation above and reported that residents have been found to be soiled upon arrival to the morning shift. On 04/01/26 LPA conducted a review of R1s’ preplacement appraisal dated: 02/20/25 which indicated R1 can toilet self. Per service plan dated: 06/17/25 R1 can toilet self. On 04/01/26 LPA observed an updated service plan dated March 2026 that R1’s responsible party has not signed. Allegation: Staff did not ensure that residents’ clothing was changed. It is alleged that resident in care is left in the same clothing. On 04/01/26 and 04/09/26 LPA conducted Interviews with R1-R10 regarding the allegation above. 10 of the 10 residents interviewed denied the allegation above and reported having clean clothes available after bathing. On 04/01/26 and 04/09/26 LPA conducted interviews with S1-S6 regarding the allegation above. 5 of the 6 staff denied the allegation above, and 1 of the 6 staff interviewed reported being unaware of the allegation above. On 04/01/26 LPA conducted a review of R1s’ preplacement appraisal dated: 02/20/25 which indicated R1 can bath/shower self without assistance, dressing- self, grooming- partially depends on others. Per service plan dated: 06/17/25 R1 can dress- self-care, grooming- verbal queuing and set up. Per shower schedule, R1 is scheduled 2x a week Tuesday and Friday mornings. Per facilities laundry schedule, R1's laundry day is scheduled for Wednesday mornings. On 04/01/26 LPA observed an updated service plan dated 03/26 that R1’s responsible party has not signed. Athough 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 allegation is unsubstantiated. Exit interview conducted, and a copy of this report was provided.