complaint·February 11, 2026

experience when your whole brain is not functioning normally. During the interviews with residents, R2 reported that staff check on her often and stated that staff adequately supervise her. During the interviews with staff, Staff 1 (S1) reported that staff adequately supervise the residents in order to prevent wounds and UTIs. Regarding the allegation that staff did not assist resident with toileting needs, the following was revealed: During the investigation LPA reviewed the Care Plan for R1. Per Care Plan, it states R1 is bowel incontinent and states ask R1 if he wants to use the urinal during a diaper change. During the interviews with residents, R3 reported that she does need assistance with incontinence care. During the interviews with staff, S1 reported that staff always assist the residents with their toileting needs. Per AD, staff always assist the residents with their toileting needs. Regarding the allegation that staff left resident in wet briefs for extended periods of time, the following was revealed: During the investigation LPA reviewed the Physician Report dated May 1, 2024, for R1. Per Physician Report under Care or Service Plan it states incontinence of bowel and/or bladder. During the interviews with residents, R3 reported that she is not aware if some residents wear a diaper. Per R3, staff are helpful. During the interviews with staff, S1 reported that the diapers get changed three times per day or as needed. Per S1, the residents are not left in wet diapers for extended periods of time. Regarding the allegation that staff refused to allow resident to return to facility after hospital stay, the following was revealed: During the investigation LPA reviewed the San Juan Hills Healthcare Center summary for R1. Per San Juan Hills Healthcare Center summary report, R1 was discharged on May 6, 2024. Per San Juan Hills Healthcare Center summary report, it states R1 will be discharging to Laguna Palms located at 24571 Kings Road Laguna Niguel, CA 92677. During the interviews with staff, S1 reported that the R1 returned to the facility and was here for another two weeks before leaving. Per AD, staff did not refused to allow the resident to return to the facility after a Hospital stay. Regarding the allegation that staff withheld resident's personal belongings, the following was revealed: During the initial visit on October 3, 2024, LPA tour the facility and did not observe personal belongings for R1. CONTINUED ON LIC9099-C... During the interviews with staff, S1 reported that staff have never withheld the resident's personal belongings and stated that staff do no touch the resident's personal belongings. Per AD, R1's personal belongings were given to R1's wife the same day she requested them. During the interviews with residents, R3 reported that she has no issues with her personal belongings and stated that staff are respectful. Based on the information gathered during the investigation and review of documents obtained, LPA is unable to ascertain if the allegations occurred as reported due to conflicting information. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove or refute the alleged violations occurred; therefore, these allegations are deemed UNSUBSTANTIATED. For today’s visit, there were no citations issued per Title 22, Division 6 of the California Code of Regulations. LPA conducted an exit interview with facility representative, and a copy of this report was provided to the facility.