Complaint·June 9, 2026

Regarding the allegation, “Facility did not maintain a safe and healthful environment for the resident,” it was alleged that a resident was subjected to ongoing noise disturbances due to a roommate’s loud television at night, resulting in sleep disruption. Records review revealed internal incident reports dated 03/12/2026 and 03/13/2026 documenting concerns regarding loud television use and roommate conflict between R1 and R2. Documentation indicated that R1 reported concerns regarding television volume and difficulty sleeping. Records also indicated that staff provided reminders to R2 regarding house rules, including lowering television volume and use of headphones at night. However, the facility did not provide additional requested documentation, including behavior logs, complaint logs, or other records demonstrating ongoing monitoring, follow-up actions, or effective resolution of the roommate conflict. Resident interviews revealed that R1 reported concerns regarding loud television volume at night and disruption of sleep. Staff interviews revealed ongoing roommate conflict between R1 and R2 involving television volume, different sleep schedules, and sleep disruption. Staff further reported that incident reports were completed, the issue was brought to administration, and staff attempted verbal interventions including reminders, counseling, mediation, and review of house rules. S1 reported addressing the concern by counseling the resident, reviewing house rules, and offering a room change. However, both residents declined relocation and staff reported the concern remained ongoing at the time of the investigation. Observations revealed that residents were observed in their rooms and common areas, and the facility appeared calm during the visit. Based on interviews conducted, observations made, and records reviewed, the preponderance of evidence standard has been met. Therefore, the allegation that the facility did not maintain a safe and healthful environment for the resident due to ongoing noise disturbance and sleep disruption is Substantiated. This is a violation of California Code of Regulations, Title 22, Division 6, Chapter 8, Section 87468.1(a)(2), Personal Rights of Residents in All Facilities. A citation is being issued on the attached (LIC9099-D). An exit interview was conducted with the Administrator. A copy of this report and appeal rights were provided to the Administrator. The investigation revealed the following: Regarding the allegation that a resident attempted to run over another resident with a wheelchair, interviews conducted with residents and staff did not corroborate the allegation. Staff interviewed denied knowledge of physical aggression or wheelchair aggression between R1 and R2. S1 stated this concern had not been previously reported. Records reviewed did not contain incident reports, behavior logs, or other documentation supporting the allegation. During the visit, LPA did not observe physical aggression between residents. Regarding the allegation that a resident yelled at another resident, interviews conducted with residents and staff did not corroborate the allegation. Staff interviewed denied knowledge of yelling between R1 and R2. S1 stated this concern had not been previously reported. Records reviewed did not contain incident reports, behavior logs, or other documentation supporting the allegation. During the visit, LPA did not observe yelling or active conflict between residents. Regarding the allegation that a resident used abusive language toward another resident, interviews conducted with residents and staff did not corroborate the allegation. Staff interviewed denied knowledge of abusive language between R1 and R2. S1 stated this concern had not been previously reported. Records reviewed did not contain incident reports, behavior logs, or other documentation supporting the allegation. During the visit, LPA did not observe abusive language or active conflict between residents. Based on interviews conducted, observations made, and records reviewed, although the allegations may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violations occurred. Therefore, the allegations are Unsubstantiated. No deficiencies were cited regarding these allegations. An exit interview was conducted with the Administrator. A copy of this report was provided to the Administrator.