complaint·August 6, 2025

the preponderance of evidence has been met, therefore the allegation is deemed SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, Chapter 8 is being cited on the attached LIC 9099D. An exit interview was conducted with Administrator Westphaln and a copy of this report along with the Appeal Rights were provided at the time of this visit. Facility nurse states Atorvastatin Calcium Oral Tablet 40MG was delivered and logged in by staff without notifying nurse. Facility does not document individual medication orders being delivered. Per review of Medication Administration Record (MAR), resident missed no doses of the medication. LPA toured the memory care unit on two different occasions and observed the memory care couch to be clean and free of odor. It was alleged facility did not provide comfortable accommodations due to the alleged odor of the couch. Facility indicates cleaning the covers on the couch a minimum of every three days and has back up covers as well as a machine to clean the couch. Facility provided documentation of multiple purchases for new couch covers. Based on observation and interview, LPA is unable to corroborate the allegations. Therefore, the allegations are deemed unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted with Administrator Westphaln and a copy of this report was provided to facility.