Complaint·May 22, 2025

CONTINUED FROM FORM LIC9099 Regarding the allegation that Staff do not respond to resident’s calls for assistance in a timely manner , the following has been concluded: Based on interviews conducted and records reviewed there are on average 116 pushes per day. When ruling out pushes related to low battery levels in the pendant, there remains 139 pushes for which the response time between call system activation and endorsement of the call by staff exceeded 45 minutes, hence over four daily occurrences of excessive wait for the residents in care. As a result, the allegation is found to be Substantiated, meaning that the preponderance of evidence standard has been met. One type B deficiency is being cited per California Code of Regulations Title 22 and an immediate civil penalty for a repeat violation is being assessed. An exit interview was conducted and a copy of this report and appeal rights were provided. CONTINUED FROM FORM LIC9099 Regarding the allegation that Staff do not ensure that resident is provided with meals in a timely manner , the following has been concluded: Earlier in 2025, the facility terminated its contract with its former dining vendor for financial reasons. A higher number of staff than anticipated left to remain with the vendor at the time. Facility staff supplemented the missing dining staff with additional shifts from caregiving staff which ensured continuity of service throughout the transition. Based on staff and resident interviews, the transitional period is now almost over and routine service has resumed. Throughout the period however, no incidents involving meals not being served timely were evidenced during interviews conducted. As a result, the allegation is found to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted and a copy of the report provided.