complaint·April 17, 2026

Interviews with three out of three staff stated there are maintenance persons who are available to make repairs to the facility as needed. LPA did not observe any other physical plant issues during the visit. Regarding the allegation facility failed to properly administer resident's medications, it was reported medications are not administered per Title 22 regulations. Interviews with two out of six residents stated they are assisted with medications. One out of the two residents stated they receive medications three times every day after meals. The remaining four residents could not be qualified for interviews. Two out of two staff stated they assist residents with medication administration and record medication administration daily. The two staff added there has never been an instance where medications were not available or delayed. LPA audit of medications revealed two prescription creams (Fluocinonide cream and hydrocortisone cream) for R1 are not available at the facility. After LPA made staff aware, the staff placed an order for the creams. Regarding the allegation facility failed to maintain a complete and accurate resident’s records, it was reported resident records and not maintained per Title 22 regulations. LPA review of six out of six centrally stored medication and destruction records revealed R1's prescription hydrocortisone cream was not listed under medications. The remaining resident records were complete. Based on interviews conducted, records reviewed, and observations, 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. LPA record review of the LIC500 indicates there are six 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. Based on interviews and record review, LPA is unable to corroborate the allegation. Therefore, the allegation is deemed to be UNFOUNDED, meaning that the allegation was 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. One of the two staff added they had training on April 14, 2026 but could not recall who led the training or what topics were covered. Based on interviews and records observed, the allegations is therefore deemed unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted and a copy of the report was left with the facility representative.