Complaint·November 10, 2025

CONTINUED FROM FORM LIC9099-A Regarding the allegation that Staff are not properly trained , the following has been concluded: There are three caregivers staffed at the facility currently. Staff member S1 was previously employed at a licensed location operated by the licensee (306006329). Annual training for 2023, 2024 and 2025 was reviewed and verified to include required themes in sufficient hourly quantities for all three years. Staff members S2 and S3 both show a date of hire of October 20, 2025. Their respective initial training was reviewed to include dementia care, postural supports, medication training as well as housekeeping, sanitation, food preparation, infection control as well as emergency safety training. First aid and CPR training was also reviewed to be present for staff members currently being scheduled. As a result, the allegation is found to be Unfounded, meaning that the allegation is false, could not have happened and/or is without a reasonable basis. An exit interview was conducted and a copy of this report was provided to a facility representative. CONTINUED FROM FORM LIC9099 Regarding the allegation that Staff do not properly safeguard harmful material , the following has been concluded: During the tour of the physical plant, LPA and facility staff observed the following: Resident R1 has laundry detergent pods stored on the upper level of their closet. Per staff statement, R1 and their family have requested them to do their own laundry with minimal staff assistance. Per a review of R1's most recent assessment, R1 does not lack hazard awareness or impulse control and their safety would not be at risk if the resident had access to cleaning solutions and/or poisonous substances. Resident R2 has isopropyl alcohol accessible. Identically pe r a review of R2's most recent assessment, R2 does not lack hazard awareness or impulse control and their safety would not be at risk if the resident had access to cleaning solutions and/or poisonous substances. None of the residents currently admitted appear to have been assessed to require restricted access to toxins. There are however a few bottles of cleaning products accessible under the bathroom's sink which are initially observed to be accessible during the visit. One recently discharged resident (R3) was assessed with dementia and not confirmed to have sufficient cognitive abilities to be able to access such products. One type B deficiency is therefore cited on the attached form LIC9099-D and cleared during the visit. Once pointed out, it was immediately remedied by facility staff with the installation of a safety lock. Additional dangerous items such as sharp utensils are verified to be secure in two kitchen drawers. Kitchen cleaning supplies are also secured. Based on observation and staff interviews, the allegation that Staff do not properly safeguard harmful material is found to be Substantiated, meaning that the preponderance of evidence standard has been met. therefore. See LIC9099-D for cited deficiency per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.