complaint·January 12, 2026

CONTINUED FROM FORM LIC9099 Regarding the allegation of Lack of care and supervision , the following has been concluded: Resident R1 was admitted at the facility on November 15, 2022 with a primary diagnosis of atherosclerotic vascular disease. At the time of admission, R1 was also admitted under hospice care. On January 2, 2026, R1 sustained a fall incident while receiving showering care from a hospice bath aide. Caregiver S1 present is stated to have immediately called 911 prior to notifying administrator Maria Tente who in turn notified R1's responsible party and attorney-in-fact. R1 was brought to MemorialCare Saddleback Hospital and admitted until January 7, 2026. R1 was re-admitted on hospice upon their return to the facility. Test and examination performed at the hospital appear to indicate that the fall was the result of a stroke. No delay in calling the paramedics has been evidenced during the investigation. Adequate incident reporting to the Regional Office was additionally performed. As a result, the allegation is found to be Unsubstantiated, meaning that based on the information gathered during the investigation and review of documents obtained, LPA is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove or refute the alleged violation occurred. An exit interview was conducted and a copy of this report was provided to a facility representative.