Complaint·April 24, 2025

On 04/24/2025, Licensing Program Analyst (LPA) V. Gorban conducted an unannounced subsequent complaint investigation to deliver findings. LPA explained the purpose of visit to Regional director Aaron Windbigler. The Department has investigated the allegation: Staff does not ensure residents' pendants are in good repair. On 04/24/2025, LPA call systems not operational. Based on records review no incident report provide to licensing office. It was found that whole facility call system was not operational since 4/10/25, and prior to that date, system would not receive half of the calls. Based on observations, interviews conducted, and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. A deficiency is being issued in accordance with California Code of Regulations, Title 22, on the attached 9099-D. Exit interview conducted. Report signed on-site. A copy of this report and appeal rights were discussed and provided to the facility representative.