complaint·October 9, 2025

LPA investigated the allegation, “Staff did not safeguard resident’s P & I funds.” Based on record review, interviews, it was documented that R1’s funds were used to purchase items such as cable connection, pharmacy co-pays, body wash, and coloring books for in-home activities. A wheelchair was purchased using R1’s P&I funds on November 19, 2025. Resident cash resources entrusted to the licensee for safekeeping must not be commingled with or used as facility funds. The use of R1’s P&I funds for the purchase of durable medical equipment (a wheelchair) constitutes misuse of resident cash resources. The wheelchair is a facility responsibility under the provision of care and services and should not have been purchased using R1’s personal money. By using resident funds for this purpose, the facility failed to safeguard R1’s personal property. Based on LPAs observations and interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . California Code of Regulations, Title 22, and the California Health and Safety Code are cited on the attached LIC9099-D. An exit interview was conducted, and a copy of the report and appeal rights were provided. LPA investigated the allegation, “Staff do not treat client with dignity or respect.” Based on interviews conducted, staff conduct emergency drills to simulate real life disasters which require all residents to evacuate the facility. During the drills staff knock on residents’ doors and help escort them out of the facility. Residents would get frustrated and impatient during the drills that cause them to yell at R1. Staff indicated they would intervein and de-escalate the situation and make sure all residents were safe. Staff have timely addressed resident altercations and treat all residents with respect. LPA investigated the allegation, “Staff do not follow resident’s needs and service plan.” Based on documentation, and interviews conducted, evidence was not found to support that staff do not follow R1’s needs and service plan. Documentation reviewed by LPA indicated that staff meet the needs and care plan for all residents. LPA could not corroborate the allegation. LPA investigated the allegation, “Staff do not keep clients authorized person informed about client’s care.” Based on interviews conducted, facility staff stated they have called R1’s authorized person by phone or email each time an incident or event happened regarding R1’s care. Interviews indicated that facility staff and authorized person for R1 have had communication but have a rough relationship causing tension between both parties. This has caused a lot of misunderstandings and lack of communication at times. LPA could not corroborate the allegation. Based on interviews conducted and observations, the preponderance of evidence standards has not been met. Therefore, the above allegations are found to be UNSUBSTANTIATED. Findings that the complaint is Unsubstantiated means 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 provided.