complaint·January 13, 2026

The investigation revealed the following: Regarding the allegation " Facility does not employ sufficient staff to meet residents needs.", it has been alleged that there is only one (1) caregiver per twenty (20) residents. Interviews revealed that all five staff (S1-S5) and all five residents (R1-R5) have not agreed the allegation has taken place. Record reviews revealed staff coverage for residents in care, between the months of September and October of 2025 (09/25 & 10/25) , are within Title 22 regulation. Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated. Regarding the allegation " Staff does not ensure that resident's hygiene needs are being met.", it has been alleged that staff are not assisting residents with their Activities of Daily Living (ADL). Interviews revealed that all five staff (S1-S5) and all five residents (R1-R5) have not agreed the allegation has taken place. Record reviews revealed that residents' care plan and service logs align and no discrepancies were observed. Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated. Regarding the allegation " Staff does not ensure that resident's dental hygiene needs are being met.", it has been alleged that a resident suffered from tooth decay, resulting in a broken tooth. Interviews revealed that all five staff (S1-S5) and all five residents (R1-R5) have not agreed the allegation has taken place. Record reviews revealed that for residents' care plan indicating full-assist with brushing teeth do match their service logs . Furthermore, staff have indicated that they can easily tell those who have not brushed their teeth and when noticed, prompting and assisting with brushing has become the normal pattern. Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated. There have been zero (0) deficiencies cited during today's visit. An exit interview was held with staff one, Tracey Mallaret - General Manager