complaint·March 3, 2026

Investigation revealed the following: Regarding the allegation, “Staff are not allowing a resident to have a visitor,” it is being alleged Staff #1 (S1) banned a family member from visiting Resident #1 (R1) by getting authorization from Witness #1 (W1). Record review of Resident #1 (R1) Advance Health Care Directive revealed Witness #1 (W1) as R1's Health Care Agent. It revealed R1’s health care agent must make health care decisions that are consistent with my instructions in this document, if any, and other wishes known by my agent. Otherwise, my agent must make health care decisions that he or she believes to be in my best interest, considering what he or she knows about my personal values. This form does not give my health care agent the authority to make financial or other business decisions. Review of My Values and Beliefs (Part 2), My Health Care Instructions (Part 3), My Hope and Wishes (Optional) (Part 4) are blank in the Advance Health Care Directive. Review of Health Care Agent’s (written) Notice revealed W1 prohibited a family member from visiting R1 as of 02/20/2026. On 03/02/26 10:36 AM, interview with W1 indicated W1 has power of attorney over R1's medical and has the paperwork (Advance Health Care Directive). Staff #1 (S1) indicated the family member came to visit and was informed that W1 said the family member could not visit R1. S1 reported the incident to W1. R1 passed away on 02/25/2026. Regarding the allegation, “Staff are not allowing a resident to have a visitor,” based on record review and interviews, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be substantiated. California Code of Regulations, Title 22, Division 6 are being cited on the attached LIC 9099D. An exit interview was conducted, plans of correction developed, and a copy of this report with the appeal rights was provided to Staff Lucia Ramos.