complaint·February 23, 2026

Continued LIC9099-C page 2. On 02/23/2026, between 10:30 a.m. and 4:30 p.m., LPA Pamela Bunker conducted interviews with staff members #1–#4 (S1–S4) and with residents #1–#6 (R1–R6). The investigation revealed the following. Allegation: Staff dropped the resident LPA conducted interviews with Staff #1–#4 (S1–S4). All four staff members (4 out of 4) stated that the facility provides adequate care and supervision to ensure residents are safely assisted at all times. Each staff member (4 out of 4) stated that no resident has been dropped by staff and confirmed that there is no documentation indicating that such an incident has occurred at the facility. S1-S4 denied the allegation. LPA also interviewed Residents #1–#6 (R1–R6). All six residents (6 out of 6) stated that they have never witnessed or experienced any resident being dropped by staff. Residents stated that staff provide appropriate care and supervision, are readily available when assistance is needed, and routinely check on residents throughout the day and night. R1–R6 stated that their daily needs are met, that they feel safe in the facility, and that they are happy living there. None of the residents expressed concerns related to staff handling or safety. R1-R6 denied the allegation. Allegation: Staff are not meeting residents' needs LPA conducted interviews with Staff #1–#4 (S1–S4). All four staff members (4 out of 4) stated that the facility is meeting residents’ needs and that staff provide adequate care and supervision to ensure residents remain healthy and well. S1–S4 reported that they regularly monitor residents, assist with daily living activities, and follow established care protocols. All four staff members (4 out of 4) denied the allegation. LPA also interviewed Residents #1–#6 (R1–R6). All six residents (6 out of 6) stated that staff provide appropriate care and supervision and are available when assistance is needed. 6 out of 6 residents stated that staff routinely check on them throughout the day and night and respond promptly to calls for help. R1–R6 stated that their daily needs are being met, that they feel safe in the facility, and that they are happy with the care they receive. None of the residents expressed concerns regarding staff responsiveness, care practices, or unmet needs. All six residents (6 out of 6) denied the allegation. See continued LIC812-C page 2. Continued LIC9099-C page 3. Allegation: Staff Are Not Following Infection Control Requirements LPA conducted interviews with Staff #1–#4 (S1–S4). All four staff members (4 out of 4) stated that the facility follows all required infection control protocols and provides adequate care and supervision to ensure residents’ health and safety. 4 out of 4 staff stated that they adhere to established policies, including hand hygiene, personal protective equipment (PPE) use, sanitation procedures, and the implementation of resident-specific precautions when necessary. 4 out of 4 staff members stated that they had no cases of COVID-19, UTIs, or pneumonia among residents during March 2025. S1-S4 stated that all incidents are reported to Community Care Licensing and all other appropriate agencies in a timely manner. S1–S4 stated that infection control practices are reviewed regularly during staff meetings and reinforced through ongoing training. All four staff members (4 out of 4) denied the allegation. During the visit, LPA reviewed the facility’s Mitigation Plan Report dated April 16, 2021 , and an approved Infection Control Report dated May 25, 2022 . Both documents reflected current infection control procedures and confirmed that the facility has established systems in place to reduce the risk of illness and comply with regulatory requirements. LPA also interviewed Residents #1–#6 (R1–R6). All residents (6 out of 6) stated that staff provide adequate care and supervision and follow infection control procedures, including compliance with COVID‑19 guidelines and physician‑ordered medical directives. 6 out of 6 residents stated that staff maintain a clean environment, practice proper hygiene, and take precautions to prevent the spread of illness. All six residents (6 out of 6) denied the allegation and expressed no concerns regarding staff practices or infection control measures. Based on interviews, available evidence, observation, information received, and records reviewed, there was not enough sufficient evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. A copy of the Complaint Investigation Report LIC9099 and LIC9099-C was provided to Ellen Barrintos, Administrator. No deficiencies were cited. An exit interview was conducted.