complaint·October 9, 2025

Assistant Administrator Celina Vasquez stated that their main goal is patient advocacy. Feels staff responds in a timely manner. Stated at night they use the pull cord and staff respond quickly. During the day 5 residents on Hospice call for help and they are always assisted. Administrator stated that always 3 on shift and they will respond right away. Sometimes they may say give me a minute, but they will always take care of the residents. Staff S1- S3 said they will respond in a reasonable time frame. 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 . In regards to the allegation Staff did not ensure a sufficient food supply was available at the facility, based on interviews conducted and tour of the kitchen and food supply on 5/15/25 and 10/9/25 by LPA who observed a sufficient supply of 2 day perishables and 7 day non-perishables which included the following: Milk, juice, vegetables, yogurt, oatmeal, chicken, ground beef, shrimp, fish, hot dogs, corn, lunch meat, pasta, beans, crackers, Jello, eggs and ice cream. Staff S1-S3 stated there is enough food today. Resident's R1- R5 all stated that there is a large supply of food. They get all 3 meals and a snack and can even go back for 2nd's. LPA observed variety of can foods, and dried goods such as lentils, beans, rice, pasta in the pantry. LPA reviewed the following documents: facility menus, and per facility schedule two staff are assigned to the kitchen throughout the week. It should also be noted that the allegation Staff do not ensure there is enough food at the facility for residents Complaint Control # 28-AS-20250123120517 previously had Unsubstantiated finding on 1/30/25. 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 . In regards to the allegation Facility shower room does not deliver hot water for resident's use, based on interviews conducted and tour of the shower room it was revealed on tours conducted on 5/15/25 and 10/9/25 that there was hot water delivered for residents on both visits. Assistant Administrator Celina Vasquez stated that showers are 2 to 3x a day and there is hot water and no one has complained. Staff S1-S2 said showers are given 2x a week and they do have hot water. Administrator stated they always check and there is always hot and cold water. Resident's R1- R5 said they are assisted with showers each week and there is hot and cold water. 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 . In regards to the allegation Staff did not ensure sufficient cleaning supplies were available at the facility to keep the facility clean, based on interviews conducted and tour of locked area for chemicals LPA observed on 05/15/25 and 10/9/25 that there was a sufficient supply of chemicals. LPA observed the following: laundry soap, dishwashing liquid, bleach, cleaner with bleach, toilet paper, paper towels and kitchen bags. Resident's R1- R5 all stated that the facility is kept clean. Said they always see staff cleaning and always doing laundry. Stated housekeeping always cleans their room and they have seen them use cleaning sprays. Administrator stated that they always keep chemicals full and also have a Chemicals Inventory List. LPA observed the list which included a surplus amount of cleaning supplies. 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 allegation is UNSUBSTANTIATED In regards to the allegation Staff did not ensure a comfortable facility temperature was maintained for residents in care, based on interviews conducted and information gathered LPA on the initial visit conducted on 5/15/25 observed that the air conditioning unit was not working. Assistant Administrator confirmed that the air conditioner wasn't working. Staff S1-S3 all stated that the air conditioner had been down previously. 5 of 5 residents acknowledged that the air conditioner was not in use and was inoperable. Tour of facility at today's visit 10/09/25 the air conditioner was operable and the facility maintained a comfortable temperature. 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.