Complaint·February 3, 2026

The investigation revealed the following: Allegation: Staff did not provide medical personnel with medical records in a timely manner. It is being alleged that on 10/27/25, a doctor at UCLA Medical Center asked facility Administrator to provide medical records for R1, but no records were provided. It is also being alleged that R1’s family member contacted facility administrator multiple times to ask them to send the medical records to the doctor. On 11/05/25, LPA Gonzalez conducted interviews with staff S1-S3. Of those interviewed, 2 out of 3 staff denied the allegation, and 1 out of 3 staff could not corroborate with the allegation. An interview with S2 revealed that S2 spoke with a physician at UCLA Medical Center on 10/27/25 and verbally provided the requested information regarding R1. S2 stated that on 10/28/25, after speaking with Witness #1 (W1), who requested that R1’s medical records be sent in paper form to the physician, S2 mailed the requested medical records on 10/28/25. On 11/05/25, LPA Gonzalez conducted interviews with residents R1-R3 and attempted to interview R4 but were unable to as they were sleeping. Of those interviewed, 3 out of 3 residents could not corroborate with the allegation. Based on records reviewed, and interviews conducted, there is insufficient 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 unsubstantiated. Allegation: Staff disclosed confidential information about resident to others. It is being alleged that facility Administrator has been contacting R1’s responsible party’s sibling via text and phone calls about R1, despite their request that no information be shared without their consent. On 11/05/25, LPA Gonzalez conducted interviews with S1-S3. Of those interviewed, 3 out of 3 staff denied the allegation. An interview with S1 indicated that R1 maintains ongoing communication with their family and retains the right to authorize the release of personal information at their discretion. On 11/05/25, LPA Gonzalez conducted interviews with residents #1-#3 (R1-R3) and attempted to interview R4 but were unable to as they were sleeping. Of those interviewed, 3 out of 3 residents could not corroborate with the allegation. Continued on LIC9099-C Based on observation, and interviews conducted, there is insufficient 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 unsubstantiated. Allegation: Staff are not following resident's special dietary needs. It is being alleged that staff do not ensure R1 is provided with an adequate amount of liquids, and that staff does not ensure R1 receives food of sufficient quality. It is also being alleged that staff are not following R1’s dietary restrictions. On 11/05/25, LPA Gonzalez conducted interviews with staff S1-S3. Of those interviewed, 3 out of 3 staff denied the allegation. On 11/05/25, LPA Gonzalez conducted interviews with residents R1-R3 and attempted to interview R4 but were unable to as they were sleeping. Of those interviewed, 3 out of 3 residents denied the allegation. 3 out of 3 residents said they receive 3 meals a day, with snacks in between. 3 out of 3 residents said they are receiving good nutritious meals daily at the facility. 3 out of 3 residents said they are receiving an adequate amount of liquids daily. On 02/03/26, LPA Gonzalez conducted a review of R1’s Needs and Service Plan dated: 01/02/26. Per service plan, R1 requires a special low sodium diet. On 12/29/25 LPA conducted a tour of the kitchen facility, LPA observed all special diets, and dietary needs are printed and displayed on kitchen wall. The Kitchen staff also have a binder with all residents and their dietary needs. Based on observation, and interviews conducted, there is insufficient 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 unsubstantiated. Allegation: Staff did not ensure resident received a copy of the admissions agreement. It is being alleged that R1 and/or their responsible party never received a copy of the admissions agreement. On 11/05/25, LPA Gonzalez conducted interviews with staff S1-S3. Of those interviewed, 3 out of 3 staff denied the allegation. Continued on LIC9099-C On 11/05/25, LPA Gonzalez conducted interviews with residents R1-R3 and attempted to interview R4 but were unable to as they were sleeping. Of those interviewed, 3 out of 3 residents could not corroborate with the allegation. On 11/05/25, LPA Gonzalez reviewed resident service files for R1-R3 and observed that each resident received a signed and dated copy of their admission agreement. Based on observation, and interviews conducted, there is insufficient 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 unsubstantiated . Allegation: Staff did not ensure residents medications were accurately accounted for during admission. It is being alleged that a prescription bottle of medication was seen in a box containing R1’s belongings. It is also being alleged that staff did not account for that medication when R1 was admitted to the facility in August 2025. On 11/05/25, LPA Gonzalez conducted interviews with staff S1-S3. Of those interviewed, 3 out of 3 staff denied the allegation. An interview with S1 revealed that all prescribed resident medications are accounted for upon admission and as changes occur. On 11/05/25, LPA Gonzalez conducted interviews with residents R1-R3 and attempted to interview R4 but were unable to as they were sleeping. Of those interviewed, 3 out of 3 residents could not corroborate with the allegation. 3 out of 3 residents said they receive their medication daily, on time and as prescribed by their physician. On 11/05/25, LPA Gonzalez conducted a review of R1’s Medication Prescription List. No discrepancies were identified when compared to the medications on hand. Based on observation, and interviews conducted, there is insufficient 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 unsubstantiated. No deficiencies were cited during this investigation. An exit interview was conducted, and a copy of this report was provided.