complaint·June 13, 2025

CONTINUED FROM FORM LIC9099 Regarding the allegation that Licensee did not maintain facility in good repair , the following has been concluded: During the observation and review of the facility's physical plant, it was evidenced that one of the two shared bathrooms used to provide toileting care to the residents had a loose wall-mounted thermostatic handle resulting in difficulty adjusting the water temperature reliably. There are also two faucets in the same bathroom, one of which is observed to be rotating loosely around its axis, also making water dispensation adjustments difficult. Additionally, water is being dispensed at a temperature of 130F, creating a risk of scalding. This additional deficiency is documented in a separate inspection report form LIC809. Based on the observations and interviews conducted during the present visit, the Department obtained sufficient evidence to substantiate the allegation mentioned above. The preponderance of evidence standard has been met; therefore, the allegation is Substantiated. See LIC9099D for cited deficiency per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report along with appeal rights was provided to a facility representative. CONTINUED FROM FORM LIC9099-A Regarding the allegation that Licensee did not ensure resident received contracted service , the following has been concluded: Based on a review of admission agreements for the residents currently living at the facility, it was determined that Cable television was not explicitly listed as part of the basic services being provided upon admission and payment of the residence fee. A separate clause lists the provision of " Additional cable services " as " THIRD PARTY SERVICES: Provided at market rate and billed directly to the Resident or the authorized representative " with the clause verified to have been initialed by the resident upon signature of the admission agreement. Additionally, staff and resident interviews evidenced that there had been no additional charge to the residents related to cable service. As a result, the allegation is determined to be Unfounded, meaning that the allegation is false, could not have happened and/or is without a reasonable basis. An exit interview was conducted with the facility and a copy of the report was provided to a facility representative. CONTINUED FROM FORM LIC9099-A Regarding the allegation that Staff did not assist resident with care needs in a timely manner , the following has been concluded: It was alleged that resident beddings were not being replaced in a timely manner by facility staff. During a tour of the physical plant, LPA verified all beds to be appropriately equipped with clean linens. Resident interviews and staff interviews conducted appear to indicate there are frequent checks and linen replacement on a weekly basis. Based on the evidence gathered during the visit, the allegation is found to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred. An exit interview was conducted with the facility and a copy of the report was provided to a facility representative.