complaint·July 24, 2025

Preplacement Appraisal (Dated: 08/19/2024), Unauthorized Use Of Cameras Warning Notice (Dated: 05/08/2025), Notice of Unlawful Detainer (Dated: 07/03/2025), Service Plan (Dated: 04/24/2025), Facility/Resident Notes (Dated: 04/11/2025), and Eviction Notice (Dated: 05/21/2025) from the facility. The investigation revealed the following : Allegation #1- Staff did not ensure resident was allowed to have visitors. The details of the complaint alleged that a family member of a resident was denied visiting the resident. It was reported that the family member wanted to do a wellness check and called the police to enter the facility. On 7/24/25, from 10:00am-2:00pm, the department interviewed staff (S1-S4) and residents (R1-R8) regarding the allegation. 4 of 4 staff denied the allegation that Staff did not ensure resident was allowed to have visitors. All staff (S1-S4) interviewed stated that they have never denied anyone the right to visit a resident at the facility. All staff stated that visiting hours are Monday through Sunday from 9:00am through 07:00pm. Staff also stated that a family member of a resident (R1), who had installed unauthorized cameras in the resident’s room, called at 1:00am on 04/11/25, because the camera was not transmitting and wanted to come and see the resident. Staff stated that they explained visiting hours are from 9:00am-7:00pm, Monday through Sunday, and this was not an emergency. Subsequently, stated staff, the family member called the police, they came, and they let the police and family member into the facility to check on the resident, and the resident was asleep and in no danger. The department interviewed residents (R1-R8) about the allegation and 8 of 8 residents that were interviewed stated that they have not had a problem with visiting family and friends in the facility. The majority of residents interviewed stated that visiting hours are from 9am -7pm and it is posted in the facility at the front desk. The department reviewed the Resident Lease Agreement (Dated:08/24/2024) and House Rules/Visiting Hours Document (Dated: 08/24/2024) and observed that visiting hours are written in the lease agreement and in the house rules and it states that visiting hours are from 9am-7pm. Visiting hours are also posted at the front desk. Based on interviews and records reviewed, there is insufficient evidence to support the allegation that the Staff did not ensure resident was allowed to have visitors. 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 Unsubstantiated . Report Continued on LIC9099-C Allegation #2- Staff verbally threatened residents’ personal representative to evict resident in care. The details of the complaint alleged that a staff member of the facility, threatened to evict a resident (R1) because of their family members conduct in trying to visit the resident after hours. On 7/24/25, from 10:00am-2:00pm, the department interviewed staff (S1-S4) and residents (R1-R8) regarding the allegation. 4 of 4 staff denied the allegation that Staff verbally threatened residents’ personal representative to evict resident in care. All staff (S1-S4) interviewed stated that at no time did anyone ever threaten to evict a resident (R1) because of a family members conduct in trying to visit a resident. Staff stated that a written warning was given to the resident and the residents representative because of unauthorized use of cameras in the resident’s room, which is a violation of Title 22 regulations for community care facilities without a prior waiver. Staff stated that three warnings were given before an eviction notice was issued because of the camera use and in no way had anything to do with a family members conduct in trying to visit a resident. The department interviewed residents (R1-R8) about the allegation and 8 of 8 residents that were interviewed stated that they have not been threatened with eviction because of a family members conduct. Additionally, residents that were interviewed stated that they have not had any issues with the facility not allowing them visitors during visiting hours. The Department reviewed the Unauthorized Use of Cameras Warning Notice (Dated: 05/08/2025) and the Resident Lease Agreement (Dated:08/24/2024) and observed that the resident was in violation of the general policies of the facility as outlined in section 10.9 of the resident’s lease agreement. Based on interviews and records reviewed, there is insufficient evidence to support the allegation that the Staff verbally threatened residents’ personal representative to evict resident in care. 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 Unsubstantiated . No deficiencies were cited. An exit interview was conducted with Robert Jakini, Executive Director, and a hard copy of this Complaint Investigation Report was provided.