complaint·November 13, 2025

R1 is currently not receiving Supplemental Security Income (SSI) based on a letter sent to R1 on June 17, 2025 by the Social Security Administration. The date of the rate increase letter of October 22, 2025 informing R1 of the rate increase starting January 1, 2026 is less than ninety days. Based on LPA interviews and record review, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), is being cited on the attached LIC 9099D. An exit interview was conducted and a copy of the report was left with the facility representative along with appeal rights. R1 stated their rib cage does not hurt and does not know how it could happen. R1 stated there was no fall that would have caused an injury to their rib. R1 added they told one staff member about it but did not want to go to the hospital because "it's too much of a hassle and they make you wait a long time." LPA interviews with three out of three additional residents stated their needs are being met at this time and are receiving medical care as needed. LPA observed R1 readjust from laying on their bed to sitting up on their bed without difficulty. LPA record review revealed R1 has seen outside medical personnel at the facility from July 4, 2025 through November 7, 2025 17 times either by a nurse or physician's assistant. No observations of fractures were noted. Regarding the allegation staff forced a resident to sign an unknown document, it was reported R1 was forced to sign a document under pressure. LPA interview with Administrator (AD) Yaylene Mazariegos stated AD had R1 sign a copy of the rate increase letter given to R1 on October 22, 2025 to acknowledge a copy was provided. AD provided a copy of the rate increase letter to LPA with R1's signature. LPA interview with R1 stated they vaguely remember signing a copy of the rate increase letter given by AD but not completely sure. R1 stated they received a copy of the rate increase letter. Regarding the allegation staff inappropriately took pictures of a resident, it was reported on an unspecified date, staff took pictures of client while client was unaware. LPA interviews with three out of three staff stated they are unaware of any staff taking inappropriate pictures of residents. LPA interview with R1 stated they have photos on their phone showing three pictures of R1 from the waist up at an angle coming from the floor as they are walking. R1 stated they are unaware of how those photos came about. LPA observation of the photos appear to be accidental selfies as the photos' angle appear to be coming from R1's left hand at arms length pointing up. Regarding the allegation staff are not safeguarding a resident's personal phone, it was reported some of R1's pictures have been deleted from their phone. LPA interviews with three out of three staff stated they have never witness anyone deleting pictures from a resident's phone. LPA interview with R1 stated they keep a passcode on the phone and sleep with the phone under their pillow. LPA observed phone securely held in R1's carrying bag with a strap around R1's body. Continued on LIC9099-C dated 11/13/2025 Based on interviews, record review, and observations, LPA is unable to corroborate the allegations. Therefore, the allegations are deemed to be UNFOUNDED, meaning that the allegations were false, could not have happened and/or is without a reasonable basis. An exit interview was conducted and a copy of the report was left with the facility representative.