Complaint·January 8, 2026

The investigation revealed the following: Allegation: Staff are mistreating a resident. It is being alleged that R1 was illegally moved from room #229 to #218. On 10/16/25, LPA Gonzalez conducted interviews with S1-S4. Of those interviewed, 4 out of 4 staff denied the allegation. 4 out of 4 staff said they treat all residents with dignity and respect. On 10/16/25, LPA Gonzalez conducted interviews with R2-R7, and attempted to interview R1, but was unable to as R1 was out of the facility, and LPA was unable to reach R1 via telephone. Of those interviewed, 6 out of 6 residents could not corroborate with the allegation. 6 out of 6 residents said staff treat them with dignity and respect. Based on records reviewed, 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 inappropriately locked in a resident. It is being alleged that R1 was illegally locked out with a plastic cup on the door. On 10/16/25, LPA Gonzalez conducted interviews with S1-S4. Of those interviewed, 3 out of 4 staff denied the allegation. On 10/16/25, LPA Gonzalez conducted interviews with R2-R7, and attempted to interview R1, but was unable to as R1 was out of the facility, and LPA was unable to reach R1 via telephone. Of those interviewed, 6 out of 6 residents could not corroborate with the allegation. Based on records reviewed, 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 exposed a resident to harmful material. It is being alleged that R1 was placed in an asbestos laden room. On 10/16/25, LPA Gonzalez conducted interviews with S1-S4. Of those interviewed, 4 out of 4 staff denied the allegation. Continued on LIC9099-C On 10/16/25, LPA Gonzalez conducted interviews with R2-R7, and attempted to interview R1, but was unable to as R1 was out of the facility, and LPA was unable to reach R1 via telephone. Of those interviewed, 6 out of 6 residents could not corroborate with the allegation. Based on records reviewed, 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 afford a resident privacy. It is being alleged that staff charged in a residents room at 7 AM while they were sleeping. On 10/16/25, LPA Gonzalez conducted interviews with S1-S4. Of those interviewed, 4 out of 4 staff denied the allegation. 4 out of 4 staff said they knock on the door before entering the residents room. On 10/16/25, LPA Gonzalez conducted interviews with R2-R7, and attempted to interview R1, but was unable to as R1 was out of the facility, and LPA was unable to reach R1 via telephone. Of those interviewed, 6 out of 6 residents denied the allegation. Based on records reviewed, 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 unlawfully evicted a resident. On 10/16/25, LPA Gonzalez conducted interviews with S1-S4. Of those interviewed, 4 out of 4 staff denied the allegation. An interview with S1 revealed that there are two residents who are being lawfully evicted. On 10/16/25, LPA Gonzalez conducted interviews with R2-R7, and attempted to interview R1, but was unable to as R1 was out of the facility, and LPA was unable to reach R1 via telephone. Of those interviewed, 6 out of 6 residents could not corroborate with the allegation. Continued on LIC9099-C On 01/08/26, LPA Gonzalez reviewed R1’s Admission Agreement, which was signed and dated on 04/11/23 by R1 agreeing to pay the monthly fees. LPA reviewed the facility’s House Rules, which were signed and dated by R1 on 04/11/23. LPA reviewed a 30-day eviction notice dated 09/18/24, and it noted that R1 was to be evicted as of 10/18/24 due to R1 failing to pay rent to the facility. LPA reviewed an Unlawful Detainer Eviction Notice dated 08/08/25. Based on records reviewed, 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 mishandled a resident's personal belongings. It is being alleged that R1’s eviction paperwork along with most of their belongings have been stolen. On 10/16/25, LPA Gonzalez conducted interviews with S1-S4. Of those interviewed, 4 out of 4 staff denied the allegation. On 10/16/25, LPA Gonzalez conducted interviews with R2-R7, and attempted to interview R1, but was unable to as R1 was out of the facility, and LPA was unable to reach R1 via telephone. Of those interviewed, 6 out of 6 residents could not corroborate with the allegation. Based on records reviewed, 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 visit. An exit interview was conducted, and a copy of this report was provided to Assistant Administrator Cecilia Torres.