complaint·April 3, 2025

The three staff also indicated R1 expressing anger only when told not to smoke in the front patio. Due to conflicting information, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the following allegation: Licensee did not provide a safe environment is deemed Unsubstantiated. An exit interview was conducted with Chief Operating Officer Faye Shen, and a copy of this report was provided at exit. Six out of the seven residents and three out of the three staff interviews acknowledged R1 smoking in the front patio which is a no smoking zone evidenced by the two no smoking signs and one personal sign posted for R1. Three out of the three staff indicated reminding R1 not to smoke, however R1 would not adhere to the house rules. Based on the review of the resident code of conduct, facility enforces a strict zero-tolerance policy and permits smoking "exclusively in designated areas" and prohibits in areas marked with no smoking signs. Per review of the the resident's smoking log, which was part of the Plan Correction (POC) issued on January 15, 2025, the log reveals R1 smoking at the front entrance. Based on the observations made, interviews which were conducted, and the records that were reviewed, the preponderance of evidence standard has been met, therefore the following allegation: Licensee did not provide a healthful environment by allowing resident to smoke at the facility entranceway is deemed SUBSTANTIATED as per the Title 22, Division 6, Chapter 8 of the California Code of Regulations. See the attached LIC9099D. A civil penalty for a repeat violation is being assessed on the LIC421FC. An exit interview was conducted with Chief Operating Officer Faye Shen, and a copy of this report including the LIC811 and the appeal rights were provided at exit.