complaint·April 4, 2025

On 03/28/25 LPA conducted record review of Facility Personnel Report Summary, which shows One-Hundred and Thirty-Two (132) staff who are currently associated to the facility. On 04/04/25, at 8:22AM, LPA compared the Facility Personnel Report Summary to the staff roster that was provided (dated 04/04/25) and observed two (2) staff (S4-S5), scheduled to work on 04/04/25, who were not listed as being associated to the facility. From 9:00AM to 09:45AM, LPA interviewed two (2) residents (R1-R2) and three (3) staff (S1-S3). R1-R2 and S1-S3 have denied the allegation has taken place. From 9:50AM - 11:20AM, LPA sat with S1 to verify S4-S5 status. One (1) staff was found as associated to the facility, with their maiden name listed, and one (1) staff remained uncleared through Care Provider Management Bureau (CPMB) and will not be allowed to work at any care facility until that staff receives clearance from CPMB. From 2:00PM to 2:45PM, LPA interviewed two additional residents (R3-R4) who have also denied the allegation has taken place. Based on record reviews and interviews conducted, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be Substantiated . California Code of Regulations, Title twenty-two (22), Division six (6) is being cited on the attached LIC9099-D. One deficiency has been cited, see LIC9099-D. An exit interview was held with staff one, Veronica Gomez (S1). A copy of this report, the deficiency cited, and facilities' appeal rights have been provided to Veronica Gomez (S1).