Complaint·October 17, 2025

Regarding the Allegation : Staff did not address the residents’ change in medical conditions. This complaint alleged that the facility staff did not update R1 medical condition. LPA Calderon noted staff serving breakfast to residents. LPA Calderon witnessed staff moving residents with no issues and there were no negative interactions. Reviewed incident report (dated 10/05/2025), report indicates that R1 had an unwitnessed fall and was taken to the hospital. The report does suggest that R1 family was advised of the incident. The Physician Report (dated 01/31/2025) and Needs and Service Plan (dated 04/30/2025) indicates that R1 lives independent life and has cognitive issues. UCLA Hospital report (dated 10/03/2025) indicates that R1 was evaluated for skin tears to the right forearm falling out of bed. 4 out of 4 staff deny the allegation. R1 cannot be interviewed due to not being in the facility. 5 out of 6 residents deny the allegation. Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “staff did not address a residents change in medical condition” is found to be UNSUBSTANTIATED. No deficiencies cited during today's visit. An exit interview was conducted, and a copy of the Complaint Report was provided to the Administrator Emma Luz (S1).