Complaint·May 12, 2026

(Continued from LIC 9099) Resident #2 (R2) was admitted to the facility on 3/03/2024. Per Physician's Report dated 2/27/2024 R2 was diagnosed with chronic schizophrenia. R2 also suffered a traumatic brain injury (TBI) and was agitated with wandering behavior per assessment tool dated 1/30/2024. R2 was sent out to the hospital on 5/02/2024 via paramedics and never returned to the facility. R2 required a higher level of care and resided in the facility for two months. It was alleged that Staff do not prevent resident from engaging in inappropriate behavior. At night, R2 would shout and bang on walls throughout the home There are four live-in caregivers who reside in the facility and a designated night staff person was awake. Three of three staff denied the allegation; stating they were trained to re-direct LPA interviewed one of three residents since the other two residents, who had first hand knowledge of the incidents, are deceased or no longer reside in the facility. One resident interviewed stated that R2's behaviors were always at night and R2 would shout and spit and pound on resident walls. R2 stated they, nor the other residents residing in the facility at this time, could sleep and spoke to the Administrator (AD) about this. The resident stated staff did try to help R2 and that R2 only lived at the facility for two months. LPA investigated the allegation that the Administrator is not on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility. Three of three staff interviewed stated that the AD visits daily, five days per week. Three of three staff shared that the AD is available to come to the facility if needed and manages three other homes. Upon interview of AD, AD shared that a former resident, Resident #1 (R1) had shared with AD that they wanted the AD to be at the facility for more hours and to address the nightly behaviors of R2. AD stated that they had been working on the problem with R2 when R2 was sent out. R2 did not have family involvement. R2 was then transferred to a higher level of care. One resident interviewed stated that the AD is present at the facility in the mornings and that they shared with AD the issues regarding R2. Currently the resident has no issues. It was also alleged that the Facility does not have sufficient amount of staff to meet the resident's needs. Three of three staff denied this allegation since there are four live-in staff and six residents. During the time R2 resided at the facility, three of three staff shared there was an additional night staff person to assist. The resident interviewed also stated there are plenty of staff and that staff always addressed their needs. (Continued on LIC 9099-C1) (Continued from LIC 9099-C) During the Department's initial visit on 4/15/2024, interviews with three of three residents confirmed that Resident #2 (R2) had behaviors that were affecting residents' sleep. Three of three staff interviewed at that time stated there was an awake night person for the six residents. Resident interviews stated the behaviors of R2 kept the residents and staff awake at night but there was always enough staff in the facility. Based on LPA's record review and interviews, the allegations that: Staff do not prevent resident from engaging in inappropriate behavior, The Administrator is not on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility and Facility does not have sufficient amount of staff to meet the resident's needs are Unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted with Uldarico "Rico" Almiranez, Administrator (AD) and a copy of this report and LIC 811 was provided to the facility.