complaint·December 9, 2025

In regard to the allegation “Facility is in disrepair”, it is alleged that facility has a broken towel rack in resident’s restroom along with a shopping cart with trash bags in back yard. During interviews with Administrator and staff three (3) out of three (3) acknowledged that towel rack was broken and that there was a shopping cart in backyard. Administrator stated that the towel rack had just recently broke due to residents grabbing rack and it would be repaired. Administrator also stated that she has called someone to remove shopping cart. During interviews with residents Four (4) out of four (4) residents stated that the facility is clean and not in disrepair. During tour of facility LPA Gutierrez observed a broken towel rack in resident’s restroom along with a shopping cart in backyard. In regard to the allegation “Staff left dangerous item accessible to residents in care” it is alleged that there was a cleaver knife in the backyard. During interviews with Administrator and staff two (2) out of three (3) acknowledged there was a meat cleaver knife left in the backyard by staff. S2 stated that he/she was cutting branches from trees and vegetables from the garden and left it out accidentally. During interviews with residents three (3) out of four (4) residents stated that they have not seen any dangerous items accessible to residents. During tour of facility LPA observed a meat cleaver knife in backyard left on a bench accessible to residents. Based on record review and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Deficiencies are being cited according to California Code of Regulations, Title 22 and Health and Safety Code. An exit interview was conducted, and a copy of this report was given emailed to Rona Lomeda due to printer problems. In regard to the allegation “Staff left resident in soiled diapers for an extended period of time”, it is alleged that resident was left with extremely soiled diapers. During interviews with Administrator and staff three (3) out of three (3) stated that they have never left residents in soiled diapers. Staff stated that residents are checked every two hours or every time they go to the bathroom to ensure that they are clean. During interviews with residents three (3) out of four (4) residents stated that they have never been left in soiled diapers. R4 was confused about the question. LPA observed enough supply of incontinence care supplies for residents in care. In regard to the allegation “Staff handles resident roughly”, it is alleged that staff touched resident on shoulder and hit them with trash bags. During interviews with Administrator and staff three (3) out of three (3) stated that they have never been rough with residents and all denied ever hitting anyone with trash bags. During interviews with residents four (4) out of four (4) residents stated that staff is nice to them and have not handed them in a rough manner. In regard to the allegation” Staff do not ensure resident's bed was in good condition”, it is alleged that resident’s bedframe was extremely loose. During interviews with Administrator and staff three (3) out of three (3) staff stated that all beds are in good condition with no loose bolts. Administrator stated that all the beds are new, and facility even has extra beds if something were to happen to the ones residents have. During interviews with residents two (2) out of four (4) residents stated they have had no problems with their beds. LPA Gutierrez checked all residents’ bedrooms, and all beds were in good condition and were not loose. Based on interviews conducted and records reviewed, there is insufficient evidence to support the allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was sent to Rona Lomeda by email due to LPA printer problems.