complaint·January 26, 2026

Continued LIC9099-C page 2. Sign In and Out Sheet (dated 01/2025--02/2025), and Flex Note (2/17/2025, 02/21/2025, 03/01/2025, 03/02/2025. and 03/04/2025. On 01/21/2026 & 01/26/2026, between 11:30 a.m. and 3:30 p.m., LPA Pamela Bunker conducted interviews with staff members #1–#4 (S1–S4) and with residents #2–#6 (R2–R6). Resident #1 (R1) was unavailable for an interview as they no longer reside at the facility. R1 transferring to a higher level of care facility. The investigation revealed the following. Allegation : Staff did not safeguard the resident’s personal belongings. LPA interviewed staff members S #1–S4 (S1-S4). All four staff members (4 out of 4) stated that facility staff safeguard residents’ personal belongings. They explained that Resident R1’s laundry is handled by the responsible party, not by facility staff. S1–S4 further stated that if any personal belongings are missing, staff will search for the items or replace what is missing. S1-S4 denied the allegation. LPA interviewed Residents #2–#6 (R2–R6), who stated that staff safeguard their personal belongings and nothing has gone missing. 5 out of 6 residents reported that staff are always available to assist and make sure they are not missing any of their personal items. R2-R2 denied the allegation. Allegation: Staff did not give a resident water. LPA interviewed staff members #1-4 (S1–S4). All four staff members (4 out of 4) stated that facility staff provide residents with plenty of water to drink and that each resident has a pitcher of water in their room. S1 and S2 stated that the resident was not hospitalized for dehydration or lack of water but was hospitalized for a urinary tract infection (UTI). S1-S4 denied the allegation. LPA interviewed residents #2-6 (R2–R6). All five residents (R2-R6) stated that they receive plenty of water to drink and have a pitcher of water in their rooms. R2–R6 denied the allegation. See continued LIC9099-C page 3. Continued LIC9099-C page 3. Allegation: Staff did not prevent a resident from eloping from the facility. LPA interviewed staff members #1-4 (S1–S4). All four staff members (4 out of 4) stated that the facility ensures adequate care and supervision to prevent residents from eloping. Staff stated they self-reported the incidents on February 16, 2024, and February 10, 2025, prior to the complaint. S1-S2 stated R1 briefly left the facility. In both cases, staff immediately located R1 and returned the resident to the facility within a short time. S1 and S2 stated that the incidents were reported to the Long Beach Police Department; however, no police reports were taken. Staff explained that routine rounds are conducted every two hours, and when R1 was discovered missing, staff initiated a search immediately and successfully located the resident a short time later, the same day. S1 and S2 stated that on March 2, 2025, R1 was transferred to a higher-level care facility. They confirmed that all incidents were self-reported to the appropriate agencies, responsible parties, family members, and R1’s physician in a timely manner. According to staff, 4 out of 4 staff members stated that the facility followed Title 22 regulations and implemented necessary precautions to ensure resident safety at all times. 4 out of 4 staff members denied the allegation that staff did not prevent a resident from eloping from the facility. Residents #2–#6 (R2–R6) stated that staff provide adequate care and supervision. 5 out of 6 residents reported that staff are always available to assist and consistently check on residents throughout the day and night. 5 out of 6 residents stated that they did not witness any resident eloping from the facility. R2–R6 also reported that their daily needs are being met and that they are happy living at the facility, expressing no problems or concerns. See continued LIC9099-C page 4 Continued LIC9099-C page 4. Allegation: Staff force residents to go to bed at an unreasonable time. LPA interviewed staff members #1-4 (S1–S4). All four staff (4 out of 4) stated that residents are not forced to go to bed at an unreasonable time. 4 out of 4 staff members stated that most residents typically go to sleep around 7:00 p.m. or 8:00 p.m., after visiting hours. S1–S4 noted that R1’s responsible party often visits the facility at 8:00 p.m., when the resident is already asleep, and wakes the resident up. Staff stated that residents are not forced to go to bed at 5:30 p.m. S1-S4 denied the allegation. LPA interviewed residents #2 -6 (R2–R6). All five residents stated that staff do not force residents to go to bed at an unreasonable time. 5 out of 6 residents stated they can go to bed whenever they choose. R2–R6 denied the allegation. Based on interviews, available evidence, observation, information received, and records reviewed there was not enough sufficient 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 deemed unsubstantiated. A copy of the Complaint Investigation Report LIC9099 and LIC9099-C was provided to the Administrator Lorenzona Medina. No deficiencies were cited. An exit interview was conducted.