Complaint·July 2, 2025

Residents were served meatballs with veggies, orange, and a blueberry muffin during the initial visit. Hot water temperature measured at 114.4 and 106.5 degrees Fahrenheit. During the course of the investigation, LPA interviewed four staff and five residents and obtained the following documentation: Resident Rosters dated January 29, 2025 and July 2, 2025, Personnel Reports dated January 23, 2025 and July 2, 2025, Certificate of Liability Insurance, Face Sheets, Physician's Reports, Admission Agreements of five residents, bank statements, time sheet/pays tubs, utilities billing statement, Supplemental Financial Information (LIC401a), Montlhy Operating Statement (LIC401), Balance Sheet Supplemental Schedule (LIC403a), and Balance Sheet (LIC403). The investigation revealed the following: Regarding the allegation, Facility is in financial distress, based on two out of four staff interviews and correspondence obtained obtained during the investigation, the licensee has been unable to provide timely payments of the rent as required by the leasing agreement signed with the owner of the property in which the facility operates. As of this subsequent visit, licensee is seven months delinquent on lease payments from January 2025-July 2025. On May 2, 2025, an unlawful detainer was served by the landlord to the licensee, confirming that the situation was still ongoing. Evidence corroborates financial issues experienced by the licensee. Regarding the allegation, Facility did not meet the reporting requirements, neither the initial financial issues nor the issuance of an unlawful detainer were reported to the Department by facility staff. Reporting requirements were therefore not met. Therefore, based on interviews and record review, the preponderance of evidence standard has been met, and the allegations are deemed SUBSTANTIATED. Deficiencies are being cited on the attached LIC9099D as per the Title 22, Division 6, Chapter 8. Chief Officer of Operations/Co-Founder Maricel Nepomuceno arrived approximately 1:55pm for the exit interview in which the exit interview was conducted, and a copy of this report including the appeal rights were provided at the end of the visit.