complaint·October 7, 2025

MAR (medication administration records from September 1, 2022, to November 30, 2022, reflect that R1 had 9 medications on record and all 9 medications have missed doses on several dates throughout the 3 month period reviewed. Missed doses are observed on multiple dates and/or multiple times for one day as missed or not administered. During the course of the investigation, there was sufficient evidence to substantiate the allegation. The preponderance of evidence standard has been met; therefore, the above allegation is SUBSTANTIATED. See LIC9099-D for cited deficiencies per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Executive Director and a copy of this LIC9099 and LIC9099-D, along with a copy of the appeal rights was left at the facility. reflect the residents in memory care that received showers and the time. Shift logs for August 2022 to November 2022 reflect R1 to be receiving showers, refusing showers, and staff insisting for R1 to shower without success. Interview with staff stated that when a resident refuses to shower they check back with residents 3 times. Interview with 4 of 4 residents stated that they get help with showers, and they have never had an issue with getting a shower. It is alleged that staff are not providing proper food service to resident in care. Record review reflects that shift logs for August of 2022 to November of 2022 R1 has refused to eat meals on several times throughout the day as well reflects when and how much R1 ate for meals throughout the day. Interview with staff stated that when a resident refuses meals they check back with them 3 times for them to eat. Interview with 4 of 4 residents stated that they get their meals, staff bring them meals and/or staff help them with their meals. Based on the information mentioned above, the Department is unable to ascertain if the allegation occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated. An exit interview was conducted with the Executive Director and a copy of this LIC9099 report was left at facility.