complaint·March 7, 2026

During resident interviews, LPA did not observe any incontinence odor or unusual smell. Residents appeared clean, well-groomed, and hygienically maintained. In addition, record review showed that the facility conducts checks on residents every two hours and maintains a log of those checks. LPA also reviewed the Community Care Licensing (CCL) electronic log for any reported falls or Special Incident Reports (SIRs) involving Resident 1 (R1) and found no reported incidents or falls for R1. It was also alleged that “Staff do not answer residents' call buttons in a timely manner” and “Staff do not ensure residents have adequate nighttime supervision”. All six staff members interviewed denied both allegations. In addition, according to the facility’s “Detailed Event Report” for the call button system, call requests were responded to in a timely manner and no calls were left unattended. LPA also tested the call button system during the visit and observed staff response within 0.54 seconds. Regarding nighttime staffing, facility records showed that at the time of the alleged incident, there were four caregivers and one nurse on duty during the overnight shift. Based on observations, interviews, and record review, the Department is unable to determine that the allegations occurred as reported. Although the allegations may have happened or may be valid, there is not a preponderance of evidence to prove or disprove that the alleged violations occurred. Therefore, the allegations are deemed Unsubstantiated. An exit interview was conducted with the Executive Director, and a copy of this LIC 9099 report was left at the facility.