complaint·January 23, 2026

Continued from LIC9099 Per Title 22 Regulations, Reporting Requirements, 87211(a)(1), " (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days..." Review of R1's facility documents showed that an incident report submitted to the Santa Rosa Regional Office (SRRO) on 11/05/2025 which stated that on 10/31/2025, R1 was found on the floor with a cut on their cheek. Emergency personnel was contacted and R1 was transported to the hospital for further evaluation. Report also states that R1's emergency contact was notified. Facility documentation also showed that R1's responsible party was contacted on 10/31/2025 at 5:44AM via telephone. Text message correspondence provided to the Department also showed that on 11/03/2025, R1's responsible party was informed that R1 did have a fall and that facility staff called. Review showed that facility notified R1's responsible party within the regulation's time frame of seven days, as a written report was also provided on 11/03/2025 which was three days after the incident occurred. Based on record review and observations made, this allegation is Unsubstantiated . A finding that a complaint allegation is Unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Exit interview conducted. Copy of report discussed and provided to Executive Director/Administrator. Signature on form confirms receipt of documents.