Complaint·January 16, 2026

The investigation revealed the following: For the allegation: Licensee is retaliating against resident for filing complaints. On 01/16/26, 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 01/16/26, LPA Gonzalez conducted interviews with R1-R5, and attempted to interview R6, but was unable to as R6 was out of the facility. Of those interviewed, 3 out of 5 residents could not corroborate with the allegation, and 2 out of 5 residents said they do fear retaliation should they file a complaint against the facility. 3 out of 5 residents said staff treat them with dignity and respect. 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. For the allegation: Licensee does not ensure that resident is provided a safe environment while in care. It is alleged that one or more residents threatened and engaged in aggressive behavior toward another resident. On 01/16/26, LPA Gonzalez conducted interviews with S1–S4. Of those interviewed, 4 out of 4 staff denied the allegation. An interview with S1 revealed that R1 and R6 have engaged in aggressive behavior toward each other in the past; however, staff immediately intervened, mediated the situation, and separated the residents. S1 stated that there have been no reports or incidents involving residents engaging in threatening or aggressive behavior within the past 30 days. On 01/16/26, LPA Gonzalez conducted interviews with R1–R5 and attempted to interview R6; however, R6 was unavailable due to being out of the facility. Of those interviewed, 4 out of 5 residents were unable to corroborate the allegation. 4 out of 5 residents reported that they feel safe in the facility. On 01/16/26, LPA Gonzalez reviewed the facility’s incident reports and did not observe any Special Incident Reports (SIRs) involving residents engaging in threatening or aggressive behavior within the past 30 days. Continued on LIC9099-C Based on observation, 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. For the allegation: Licensee failed to ensure that residents’ personal belongings are safeguarded while in care. It is alleged that staff, including the facility Administrator, Ella Naygas, entered a resident’s room and removed personal belongings, including clothing, cell phones, snacks, and vitamins. On 01/16/26, LPA Gonzalez conducted interviews with S1–S4. Of those interviewed, 4 out of 4 staff denied the allegation. An interview with S1 indicated that residents are allowed to lock their rooms and are provided with a key. S1 stated they have never removed clothing or cell phones from R1’s bedroom. S1 reported that unprescribed medication was removed from R1’s room due to potential health and safety concerns, as it was not prescribed by R1’s physician. S1 stated they explained the reason for the removal to R1, and R1 indicated understanding. On 01/16/26, LPA Gonzalez conducted interviews with R1–R5 and attempted to interview R6; however, R6 was unavailable due to being out of the facility. Of those interviewed, 3 out of 5 residents were unable to corroborate the allegation. 4 out of 5 residents said they are allowed to lock their rooms and have been provided with a key. Based on observation, 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. No deficiencies were cited during this investigation. An exit interview was conducted, and a copy of the report was provided to the Cecilia Torres.