complaint·November 24, 2025

On 11/24/2025, Licensing Program Analyst (LPA) Loera conducted an unannounced visit for the purpose of delivering complaint findings. LPA arrived and met with Executive Director, Melon Rivera. During the course of the investigation, LPA conducted interviews and made observations. Based upon department record review and interviews conducted, information provided was contradicting with a lack of corroborating evidence to support the allegation. Reporting Party (RP) states a discussion about a resident transitioning off hospice was held in a common area violating resident rights. RP also stated no name was overheard. Interviews conducted reveal three out of four residents have not heard staff speaking loudly, revealing residents’ confidential information. One out of four residents stated they had heard a conversation about a resident transitioning out of hospice but did not hear any resident name being mentioned. The department is unable to find enough evidence to support the allegation as statements given did not hear a name of a resident being mentioned during the alleged discussion. 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.