Complaint·August 29, 2025

The Investigation revealed the following Allegation: Staff left resident in soiled diapers On 08/28/2025 LPA Watson conducted interviews with Residents #1- Residents #4 (R1-R4) and Staff #1-Staff #3 (S1-S3). An attempt to interview #5 was made, but because of dementia (R5) was not included in the outcome of the investigation. On 08/28/2025 LPA Watson interviewed Residents #1 – Residents #4 regarding the above allegation. Out of those interviewed, 4 out of 4 denied the allegation. On 08/28/2025 LPA Watson interviewed Staff #1 – Staff #3 (S1-S3). Out of those interviewed 3 out of 3 denied the allegation. LPA was told by everyone interviewed that diapers were changed regularly three or more times a day. Based on the information gathered, interviews conducted, and an analysis of records reviewed, LPA Watson found no evidence to support the allegation mentioned above. 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. Allegation: Staff did not safeguard resident's personal belongings. On 08/28/2025 LPA Watson conducted interviews with Residents #1- Residents#4 and Staff #1-Staff #3 (S1-S3). An attempt to interview #5 was made, but because of dementia (R5) was not included in the outcome of the investigation. On 08/28/2025 LPA Watson interviewed Residents #1 – Residents #4 regarding the above allegation. Out of those interviewed, 4 out of 4 denied the allegation. On 08/28/2025 LPA Watson conducted interviews with Staff #1 – Staff #3 (S1-S3). Out of those interviewed 3 out of 3 denied the allegation. LPA toured the facility and found that resident’s personal belongings were located inside their bedrooms in drawers. The Facility Supervisor Joel Morales stated that he only allowed residents to keep clothes and nothing valuable in their rooms. Every resident interviewed stated that they have never experienced any theft. Based on the information gathered, interviews conducted, and review of records LPA Watson found no evidence to support the allegation mentioned above. 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. CONTINUED ON LIC9099-C Allegation: Staff did not ensure the showers were not in disrepair. On 08/28/2025 LPA Watson conducted interviews with Residents #1- Residents#4 and Staff #1-Staff #3 (S1-S3). An attempt to interview #5 was made, but because of dementia (R5) was not included in the outcome of the investigation. On 08/28/2025 LPA Watson interviewed Residents #1 – Residents #4 regarding the above allegation. Out of those interviewed, 4 out of 4 denied the allegation. On 08/28/2025 LPA Watson conducted interviews with Staff #1 – Staff #3 (S1-S3) regarding the above allegation. Out of those interviewed 3 out of 3 denied the allegation. LPA Watson toured the facility with the Facility Supervisor Joel Morales and observed the bathroom and shower clean and in good repair. Based on the information gathered, interviews conducted, and an analysis of records reviewed, LPA Watson found no evidence to support the allegation mentioned above. 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. Allegation: Staff did not ensure residents’ bed was not in disrepair. On 08/28/2025 LPA Watson conducted interviews with Residents #1- Residents#4 and Staff #1-Staff #3 (S1-S3). An attempt to interview #5 was made, but because of dementia(R5) was not included in the outcome of the investigation. On 08/28/2025 LPA Watson interviewed Residents #1 – Residents #4 regarding the above allegation. Out of those interviewed, 4 out of 4 denied the allegation. On 08/28/2025 LPA Watson conducted interviews with Staff #1 – Staff #3 (S1-S3) regarding the above allegation. Out of those interviewed 3 out of 3 denied the allegation. LPA Watson inspected the beds in each room with the Care Giver Vina Simatupang and confirmed that each remote-controlled bed was working and in good repair. Based on the information gathered, interviews conducted, and an analysis of records reviewed, LPA Watson found no evidence to support the allegation mentioned above. 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. CONTINUED ON LIC9099-C Allegation: Staff did not ensure the facility had toiletries. On 08/28/2025 LPA Watson conducted interviews with Residents #1- Residents#4 and Staff #1-Staff #3 (S1-S3). An attempt to interview #5 was made, but because of dementia (R5) was not included in the outcome of the investigation. On 08/28/2025 LPA Watson interviewed Residents #1 – Residents #4 regarding the above allegation. Out of those interviewed, 4 out of 4 denied the allegation. On 08/28/2025 LPA Watson conducted interviews with Staff #1 – Staff #3 (S1-S3) regarding the above allegation. Out of those interviewed 3 out of 3 denied the allegation. LPA Watson toured the facility with the Facility Supervisor Joel Morales and observed the facility fully stocked and adequately supplied with toiletries. Based on the information gathered, interviews conducted, and an analysis of records reviewed, LPA Watson found no evidence to support the allegation mentioned above. 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. Allegation: Staff are not providing adequate food service to residents. On 08/28/2025 LPA Watson conducted interviews with Residents #1- Residents#4 and Staff #1-Staff #3 (S1-S3). An attempt to interview #5 was made, but because of dementia(R5) was not included in the outcome of the investigation. On 08/28/2025 LPA Watson interviewed Residents #1 – Residents #4 regarding the above allegation. Out of those interviewed, 4 out of 4 denied the allegation. On 08/28/2025 LPA Watson conducted interviews with Staff #1 – Staff #3 (S1-S3) regarding the above allegation. Out of those interviewed 3 out of 3 denied the allegation. LPA Watson requested and obtained a menu of the food served at the facility and it showed that residents were served meals three times a day. LPA observed the facility refrigerator fully stocked with various kinds of fruit, vegetables and meat. LPA Watson observed all meals served to the residents at the facility for breakfast, lunch and dinner and observed the residents being served nutritious meals. Based on the information gathered, interviews conducted, and an analysis of records reviewed, LPA Watson found no evidence to support the allegation mentioned above. 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. CONTINUED ON LIC9099-C Allegation: Staff are not meeting residents’ shower needs. On 08/28/2025 LPA Watson conducted interviews with Residents #1- Residents#4 and Staff #1-Staff #3 (S1-S3). An attempt to interview #5 was made, but because of dementia (R5) was not included in the outcome of the investigation. On 08/28/2025 LPA Watson interviewed Residents #1 – Residents #4 regarding the above allegation. Out of those interviewed, 4 out of 4 denied the allegation. On 08/28/2025 LPA Watson conducted interviews with Staff #1 – Staff #3 (S1-S3) regarding the above allegation. Out of those interviewed 3 out of 3 denied the allegation. LPA Watson conducted interviews with each resident regarding their shower needs, and the residents stated that the care givers assisted in meeting their showering needs. Based on the information gathered, interviews conducted, and an analysis of records reviewed, LPA Watson found no evidence to support the allegation mentioned above. 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. An exit interview was conducted with the Care Giver Vina Simatupang and a copy of this report was provided