complaint·October 17, 2025

Per R3, the facility will report any incidents to her daughter on-time. R5 reported that the facility notifies his RP of incidents on-time. During the course of the interviews the Director of Operations reported that families get notified of unusual incidents the same day. Regarding the allegation that f acility staff tied residents to wheelchairs , the following was revealed: During the course of the interviews with individuals seven of eight individuals interviewed denied the allegation. During the course of the investigation LPA reviewed documents including the Moulton Family Medical Group lab buddy prescription dated September 6, 2023, for R1. Per AD, the lab buddy was prescribed to prevent falls for R1. During the course of the interviews with residents, R2 reported that she has not witness residents being tied to their wheelchair. R3 stated that he has never seen residents being tied to their wheelchair. Per R4, he has not witness residents being tied to their wheelchair. R5 reported that he has never witness residents being tied to their wheelchair. During the course of the interviews with staff, S1 reported that residents do not get tied to their wheelchair. Per S2, she has never witness residents being tied to their wheelchair during her shifts. During the course of the interviews the Director of Operations reported that she has never witness residents being tied to their wheelchair. 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 AD Enriquez, and a copy of this report was provided to the facility.