complaint·April 15, 2026

Three out of three staff stated there is sufficient staff coverage and several back up staff is available when needed. LPA record review of the LIC500 indicates there are seven caregivers available or on call with at least two caregivers scheduled to work from 7AM to 7PM and one caregiver scheduled to work from 7PM to 7AM. LPA reviewed schedule indicating two staff during the day shift and one staff during the night shift from May to April 2026. Regarding the allegation facility failed to maintain a complete and accurate resident’s records, it was reported resident records were incomplete. Record review revealed six out of six resident files included the required documents including admission agreements, physician reports, TB testing, appraisals, personal rights, consent forms, ID form, centrally stored medication and destruction records, and safeguards for personal property/valuables. Regarding the allegation facility failed to maintain a complete and accurate staff records, it was reported staff records were incomplete. Record review revealed six out of six staff files included the required documents including health screenings, TB testing, background clearance, recent training including First Aid, and personnel applications. Based on interviews and record review, 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. LPA observed a maintenance person arrive at the facility during the visit to repair the broken lock in the cabinet below the sink. LPA did not observe any other physical plant issues during the visit. Regarding the allegation the facility staff failed to properly administer resident’s medications, LPA reviewed medication administration. Interviews with four out of six residents stated they receive assistance with medication administration. Those four residents added medications are administered as prescribed. One out of three staff stated Administrator Jerry Filio is in charge of providing medications to residents. Record review for Resident 3 (R3) does not indicate on their medical assessment they can administered own injections. Interview with R3 stated they administer their own injections daily since moving into the facility. LPA audited medications for five other residents and did not find any additional discrepancies. Based on interviews conducted and record review, the preponderance of evidence standard has been met. Therefore, the above allegations are found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6), are 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.