complaint·December 29, 2025

Regarding allegation: Staff provided unwashed utensils to resident in care. It is alleged that the staff does not follow proper cleaning procedures for utensils used by resident in the dining room area. Investigation consisted of interview with staff, residents, and LPA observations. LPA interview with residents revealed that ten (10) out eleven (11) residents denied the allegation above. Residents stated that residents have not seen or heard of utensils to be dirty or unwashed. Residents stated that facility is clean and staff do a great job. Residents stated that staff wraps utensils in napkins to keep them clean. LPA interview with staff revealed that seven (7) out of seven (7) staff denied the allegation above. Staff stated that staff has not heard of any issues with dishwasher that would fail to clean utensils or dishes. Staff stated that sometimes residents use utensils and place utensils back on the table, but if staff notices it, the staff will remove utensils or dishes that have been used by residents. LPA observed the dish washing station while washing breakfast utensils and dishes. LPA did not observe staff failing to follow cleaning procedure for utensils and dishes. LPA observed serving stations and all utensils and dishes were clean. Based upon the investigation, residents and staff interviews, and LPA observations, there is no evidence to support that the facility staff is failing to wash utensils and dishes. Regarding allegation: Staff did not attend to resident call for assistance. It is alleged that R1 has fallen a couple of times and staff failed to provide assistance. Investigation consisted of interview with staff, residents, and LPA observations. The investigation reveals the following: LPA interview with residents revealed that six (6) out eleven (11) residents denied the allegation above and stated that staff have responded in a timely manner or that residents have not needed to call for assistance. R8 stated that R8 used the call pendant, and the staff response was quick. Residents have observed that staff take longer to respond in the morning when staff prepares residents for grooming, showering, and escorting residents to the dining area. Eight (8) out eleven (11) residents stated that staff treats residents well and with respect. Interviews with staff reveal that seven (7) out of seven (7) staff denied the allegation. Staff denied not responding to residents call for assistance. Staff stated that the average response time is 10-15 minutes. If a caregiver is not able to respond, the med tech team assist with residents calls for assistance. Staff stated that the morning shift is more challenging for the number of residents who request assistance for preparing residents for breakfast, showering, and grooming. LPA tested the call system on four residents rooms. LPA observed that staff responded within the average response time in three (3) out of four (4) calls for assistance. Based upon the investigation, residents and staff interviews, and LPA observations, there is no evidence to support that the facility staff is not attending residents call for assistance. Report continues on page LIC-9099C... Regarding allegation: Staff did not keep the facility free of pests. It is alleged that the facility does not maintain facility clean free of bugs such as fleas. Investigation consisted of interview with staff, residents, facility work order logs for the period of 04/6/2025 thru 07/01/2025, Pest control invoices, and LPA observations. The investigation reveals the following: The facility work order logs records four instances, in three different residents’ room, where residents requested for bug spray in their rooms for flies. Pest control invoices revealed that the pest control treatments are done once a month. LPA interview with residents revealed that eight (8) out eleven (11) residents denied the allegation above and stated that they have not seen or heard of any pest in residents’ rooms including roaches, fleas, or flies. R1 and R5 stated that residents had seen gnats come in through the window, but if reported, staff will spray quickly. Interviews with staff reveal that seven (7) out of seven (7) staff denied the allegation. Staff denied knowing that the facility has issues with pest. Staff described issues with flies in rooms due to residents bringing fruit to residents’ rooms. Staff described water bug or roaches in patio drains but pest control is immediately contacted to treat the area. Staff denied hearing any issues with fleas. LPA did not observe any pests in residents rooms and common areas in the facility. Based upon the investigation, residents and staff interviews, document reviews, and LPA observations, there is no evidence to support that the facility staff is not maintaining the facility free of pests. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED . Exit interview held with Executive Director Maria Quizon. A copy of the report was provided.