complaint·September 15, 2025

At 11:30 AM , LPA interviewed licensee; staff #1 (S1), staff # 2 (S2). At 12:30 PM, LPA Ngo-Castaneda requested and obtained copies of relevant documents, including, but not limited to, the following: client roster, personnel report, R1's physician’s report, admissions agreement, appraisal needs and service plan, incident reports and other documents. Prior to this visit on 6.19.2025 at 1:00 PM LPA reviewed the documents previously gathered from the facility. Allegation #1: Staff retaining resident against her will It was alleged that staff restrained a resident #1 (R1) by not letting them leave the facility. R1 wanted to be relocated to another facility. Staff revealed that R1 is looking for another facility and has all the freedom to be relocated. Staff denied not allowing R1 from leaving facility. They stated that per doctor’s report R1 cannot leave the facility unassisted. Therefore, they made sure that R1 is leaving with staff assistance. Residents interviewed during investigation revealed that they are not restrained from leaving the facility. A review of R1’s facility record revealed that R1 is requiring assistance to leave the facility. Based on observation, interviews and record review, there is insufficient evidence to support the allegation that staff inappropriately restrained residents. Therefore, the allegation is deemed Unsubstantiated at this time. Allegation #2: Staff do not provide resident medications as prescribed. It was alleged that staff failed to administer prescribed medications to residents. Staff revealed that they are providing medication assistance and R1 refuses to take the medication. Staff also stated they sent documentation to R1’s PCP for not taking their medication and PCP consented. Incident report(s) for medication refusal was sent to Woodland Hiss Licensing Office. Interview with R1 at the patio confirmed that R1 is getting medication assistance. However, they refuse to take their medication. Other residents had no concerns regarding their medication assistance. A review of R1’s medication records and other documents verified the information revealed from interviews. Based on observation, interviews, and record review there is no sufficient information to verify the allegation. Therefore, the allegation is deemed Unsubstantiated at this time. Continue to LIC 9099-C Allegation #3: Staff ignored resident's request for medical treatment It was alleged that R1 was ignored when requesting to be sent to the hospital for pain. Staff revealed that on 06/11/25 R1 did not fall well and requested to be sent to the hospital. 911 was called and R1 was transported to the hospital by paramedics. Although R1 verified that they were sent to hospital, they assumed they were ignored. Other residents did not address any concerns regarding their medical treatments. A review of incident report submitted by the facility verified the information revealed from interviews. Based on interviews and documentation review, there is insufficient evidence to support the allegation. Therefore, the allegation is Unsubstantiated at this time. No deficiencies cited. Exit interview conducted, a copy of this report was signed and delivered.