complaint·December 10, 2025

The investigation revealed the following: Allegation: Facility staff failed to provide medical attention for a resident in care. The detail of complaint alleges that the board and care staff are neglecting R1 due to a foot wound. On December 10, 2025, at 1:27pm, the Department interviewed Gertrude Okoro (A1) who denied the allegation stating “R1 always receive medical attention when needed. A1 further stated that "yes, there are times when R1 would refuse wound care service, but our staff always comes back to him and encourage him to have services done. R1 would come around and except the service” On December 10, 2025, between 3:00pm and 4:00pm, the Department interviewed 2 staff (S1-S2) regarding the allegation. Of those interviewed, 2 out of 2 denied the allegation stating that R1 has never been neglected and that R1 refuses services sometimes, but they continue to try to persuade R1 to allow them to help him. On December 10, 2025, between 2:30pm and 3:30pm the Department interviewed 3 Residents(R2-R4); R1 refused to be interviewed. Of those interviewed, 3 out of 3 stated that staff treat them well and when they get a wound staff take care of it. Page 2 of 3 On December 10, 2025, the Department reviewed and evaluated the following documents: R1’s physician’s report dated (4/30/25), Home health (Wound care of California) dated 8/16/24. The documents reveal that R1 has wound care services in place. The department also reviewed shift notes which indicate when R1 refuse services. Based on the information gathered, there is insufficient evidence to support the allegation mentioned above; Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. There were no deficiencies cited during today’s visit. Exit interview conducted with Administrator and copy of report provided.