Inspector’s narrative
What the inspector wrote
Investigation Revealed the Following:
Allegation: Staff do not provide activities for residents
The details of the complaint alleged that facility does not follow activities posted on the activity calendar.
On February 12, 2026, Licensing Program Analyst (LPA) Alfonso Iniguez conducted a comprehensive records review. LPA Iniguez observed a copy of the staff roster dated February 12, 2026, confirming that the facility employs a full-time Activities Director. LPA Iniguez also reviewed the facility’s activity calendars for October, November, and December 2025, as well as January and February 2026. These documents show that the facility offers a variety of scheduled activities throughout the day at 9:15 a.m., 10:00 a.m., 10:30 a.m., 11:30 a.m., 1:00 p.m., 2:30 p.m., 3:30 p.m., and 4:30 p.m. These activities comply with Title 22 requirements. They include group discussions and conversations, reminiscence activities such as looking at photos, letters, or greeting cards, cultural and/or religious activities such as holiday celebrations and cultural traditions, and other social activities, including arts and crafts, games, gardening, pet care, and recreational activities that promote social interaction.
On February 12, 2026, Licensing Program Analyst (LPA) Alfonso Iniguez confirmed during a facility tour that residents were receiving the activities listed on the facility’s calendar.
Evaluation Report continues LIC 9099-C
On February 12, 2026, at approximately 10:00 a.m., Licensing Program Analyst (LPA) Alfonso Iniguez met with the Executive Director (A#1) to discuss the facility’s activities program. (A#1) confirmed that the activities calendar is being followed as scheduled and explained that all activities are listed to provide a variety of daily and seasonal options. This approach ensures residents have access to meaningful, person-centered activities throughout the day, including late afternoons. To ensure staff compliance with Title 22 and facility policy, (A#1) stated that the program is posted throughout the facility. Staff adherence is monitored through regular walkthroughs and by collecting feedback from family members.
On February 12, 2026, at approximately 10:30 a.m., Licensing Program Analyst (LPA) Alfonso Iniguez conducted interviews with six residents in care (R#1–R#6), (6) out of (6) residents stated that they usually have activities to do during the day, mentioning, “Yeah, we play bingo and we are having a party today.” When asked what kinds of activities they enjoy or would like to do more often, residents responded with “Bingo, of course, news, checkers.” Additionally, when asked if staff assist them in joining activities when they want to participate, (6) out of (6) residents confirmed, “Yeah, they do assist me.”
On February 12, 2026, at approximately 12:00 p.m., Licensing Program Analyst (LPA) Alfonso Iniguez conducted interviews with six facility staff members (S#1–S#6), (6) out of (6) staff stated that the daily activity schedule is implemented by reviewing emails upon arrival, checking the activity schedule, and starting the first scheduled activity for the units in the facility. When asked if the activity calendar is being followed as scheduled, (6) out of (6) staff confirmed that it is. In addition, the staff further explained that if scheduled activities cannot be provided, alternative engagement or supervision is offered to residents, such as bingo or card games.
Evaluation Report continues LIC 9099-C
During this investigation, LPA did not find sufficient evidence to support the above-mentioned allegation(s).
Based on the evidence gathered, interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the above-mentioned allegation(s) are found to be
UNSUBSTANTIATED.
Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.
An exit interview was conducted, and a copy of the Complaint Report was given to Joel Niblett/Administrator.