complaint·January 20, 2026

Regarding the allegation, Staff sleeping while on duty, it was reported that staff are not awake during the night shift. During initial visit, LPA conducted three staff interviews, five resident interviews, and reviewed records. While conducting interviews, S1 stated staff are sleeping at night when residents require care. S2 they sleep in living room and wake up to assist R1 when the bed alarm goes off. A record review revealed, R1 needs total supervision per Physician’s report and wakes up at night per appraisal. R2 has a G-Tube and continence needs, and R3 has a colostomy bag and needs assistance with care. Based on the records reviewed, staff are needed and required to remain awake during nighttime hours. During complaint intake, it was reported by Reporting Party (RP) that day shift, Staff #1 (S1) disclosed to RP that night shift staff sleeps while on duty. Based on the interview on September 3, 2025, RP stated S1 was the person who disclosed that other staff are sleeping at night but did not disclose any names. RP also stated that they do not know who works there and could not provide any additional details regarding the allegation. The investigation revealed that staff are sleeping while on duty when residents in care require total supervision. Based on interviews which were conducted and the records that were reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC9099D. An exit interview was conducted with Caregiver Rian DeLeon, LIC809-D, and the appeal rights were provided at the end of the visit.