Complaint·February 11, 2026

The investigation revealed the following: For the allegation: Facility staff does not ensure residents are spoken to in an appropriate manner. It is being alleged that the administrator yells at everyone at the facility. On 02/05/26, LPA Gonzalez conducted interviews with S1–S5, and on 02/12/26, LPA conducted an interview with S6. Of those interviewed, 6 out of 6 staff denied the allegation. 6 out of 6 staff said they treat all residents with dignity and respect. On 02/05/26, LPA Gonzalez conducted interviews with R1-R6. Of those interviewed, 4 out of 6 residents could not corroborate the allegation, and 2 out of 6 residents corroborated the allegation. 4 out of 6 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: Staff physically abused a resident. It is being alleged that the administrator yells at everyone at the facility. On 02/05/26, LPA Gonzalez conducted interviews with S1–S5, and on 02/12/26, LPA conducted an interview with S6. Of those interviewed, 6 out of 6 staff denied the allegation. 6 out of 6 staff said they treat all residents with dignity and respect. On 02/05/26, LPA Gonzalez conducted interviews with R1–R6. Of those interviewed, 5 out of 6 residents could not corroborate the allegation, and 1 out of 6 residents corroborated the allegation. 4 out of 6 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. An exit interview was conducted, and a copy of the report was provided to the Cecilia Torres. The investigation revealed the following: For the allegation: Staff did not ensure facility is free from pests. It is being alleged that there are bedbugs, mites, spiders, and cobwebs all over the facility. On 02/05/26, LPA Gonzalez conducted interviews with S1–S5, and on 02/12/26, LPA conducted an interview with S6. Of those interviewed, 6 out of 6 staff stated they did not agree with the full allegation. However, staff acknowledged there is an ongoing issue with bed bugs within the facility. During interview, S1 reported the bed bug issue has been ongoing at the facility. S1 stated that upon notification of bed bug activity, staff remove items from the affected room, clean and treat the area, and disinfect the room. S1 reported that pest control services are provided twice a month and additionally as needed. On 02/05/26, LPA Gonzalez conducted interviews with R1-R6. Of those interviewed, 6 out of 6 residents interviewed corroborated the allegation. On 02/11/26, LPA Gonzalez reviewed Service Agreement for pest control services from Squash Exterminating Pest Control dated 10/21/25. Documentation indicate that the facility agreed to two (2) service visits per month for general pest control services. Additionally, LPA reviewed pest control service records from Squash Exterminating Pest Control dated 12/09/25 and 01/30/26. Records indicate the facility received routine general pest control services. Documentation reflects that no live pest activity was observed or reported during either service visit. On 02/05/26, LPA Gonzalez and Ella Naygas toured the facility and inspected rooms #108, #114, #117, #207, #209 and other common areas. LPA observed a live bed bug on the wall near a resident’s bed, what appeared to be blood stains on the wall. Additionally, while conducting an interview, LPA observed visible bite marks on a resident’s arms. Based on observation, interviews conducted, and records reviewed, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be substantiated. California Code of Regulations, Title 22, Division 6, is being cited, please see attached LIC-9099D. An exit interview was conducted, and a copy of this report was provided to Cecilia Torres.