complaint·January 29, 2026

These gaps were noted across multiple records reviewed during the visit. Interviews with staff (S1–S7) were conducted and revealed the following: (S1) stated that while resident records such as face sheets and medication logs exist, the current system is disorganized and lacks standardization. S1 acknowledged dissatisfaction with the existing filing system and reported that a new process is being implemented to improve accessibility and completeness. (S2–S3) confirmed they primarily handle record printing during emergencies, while (S4–S7) indicated they have limited access to records, which could delay response times during critical situations. Records review revealed the following: Face sheets for R1–R6 included basic information such as date of birth, name, gender, allergies, and primary care provider (PCP); however, they lacked essential details including personal information, diagnoses, diet, social security number, insurance information, emergency contacts, and provider details. All six face sheets were inconsistent and incomplete. Additionally, file reviews for R1–R3 showed further deficiencies, with R1’s pre-placement appraisal not completed and R2 and R3 missing required documentation. Based on the evidence gathered, records reviewed, observations, and interviews conducted, the preponderance of evidence standard has been met; therefore, the above-mentioned allegation is found to be SUBSTANTIATED. This is a violation of California Code of Regulations, Title 22, Division 6, Chapter 8. A citation is being issued on the attached (LIC-9099D). An exit interview, a copy of this report, and appeal rights were provided to the Administrator.