complaint·November 20, 2025

Allegation: Licensee is not ensuring that staff are adequately trained. It is alleged that care staff are missing initial training and Executive Director said to remove training because they are not in budget. It is alleged the facility cancelled January Training. Based on interviews conducted, five out of nine staff corroborated the allegation the facility is not ensuring staff are adequately trained. Eight out of eight residents and four out of nine staff denied licensee is not ensuring that staff are adequately trained. Four out of nine staff members stated the facility does not have regular required training. A staff member stated the facility had canceled training dates for December 2024 and January 2025. S9 stated that staff who were hired in 2024 did not have the initial completed training. Based on records reviewed, LPA audited 7 staff training files. Caregivers, Medication technicians, and other care staff need an initial 40 hours of training once hired and then an additional 20 hours of additional annual training. As of November 20, 2025 at the time of the visit, LPA obtained and reviewed all in-service and online training programs, and discovered the facility did not have the initial 40 hours of training service for the seven staff [S2 (care staff), S3 (caregiver), S4 (caregiver), S5 (caregiver), S6 (medication technician), S7 (medication technician), and S8 (care staff)]. LPA reviewed the staff online training program and in-service hours that demonstrated the staff did not complete the required hours for 2025. S2 only completed 2 hours out of 20 hours for 2025. S2 attended 2 in-service training with no listed duration of time. S3 completed 10.5 hours out of 20 hours required for 2025. S3 attended 7 in-service training with no listed duration of time. S4 completed 1 hour out of 20 hours required in 2025. S4 attended 4 in-session training for 2025 with no duration of time. S5 completed 4 hours out of 20 hours required for 2025. S6 completed 3 hours out of 20 hours required for 2025. S6 attended 8 in-service training for 2025 with no duration of time listed. S7 completed 6 hours out of 20 hours required for 2025. S7 attended 1 in-service training for 2025 with no duration of time listed. S8 completed 4.5 hours out of 20 hours required for 2025. S8 attended 1 in-service training for 2025 with no duration of time listed. Continued on LIC9099C Based on information gathered, there is sufficient evidence to corroborate the above allegation. Based on five out of nine staff interviews who corroborated the facility is not ensuring staff are trained adequately. Based on record review, seven out of seven staff did not have a record of completed initial training and the required 20 hours annual trainings for 2025. Therefore, based on the interviews which were conducted and the records that was reviewed, the preponderance of evidence standard has been met, therefore the following allegation: Licensee is not ensuring that staff are adequately trained deemed SUBSTANTIATED. A deficiency is being cited on the attached LIC9099-D as per the Title 22, Division 6, Chapter 8 of the California Code of Regulations. One deficiency is being cited on the attached LIC9099D. Exit interview was conducted a copy of the report, appeal rights, LIC9099D, and LIC811 were provided to Resident Services Director Mirian Im.