complaint·May 16, 2025

It was alleged that the facility is not properly reporting incidents, including incidents involving Resident #1 (R1), Resident #2 (R2), Resident #3 (R3), Resident #4 (R4), and Resident #5 (R5). LPA inspected the facility, conducted health and safety checks on residents, and observed no health and safety issues. LPA reviewed the incident reports received in the Orange County Regional Office (OCRO) and noted that the incident involving R4 was properly reported, but the incidents involving the other four residents were not reported to the OCRO. LPA interviewed AD and COO who admitted the allegation, confirming that the incidents involving R1, R2, R3, and R5 occurred more than seven days ago and the facility has not reported them yet, but is planning to report them. The information obtained corroborated the allegation. During the course of the investigation, the Department obtained sufficient evidence to substantiate the allegation mentioned above. The preponderance of evidence standard has been met; therefore, the above allegation is Substantiated. See LIC9099D for cited deficiencies per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.