complaint·December 3, 2025

Interviews with staff revealed 4 out of 9 staff interviewed were aware that the staff in question was present at the facility performing duties for more than a month. Interview conducted by LPA Flores on 12/3/25 revealed maintenance staff are on the floor and perform housekeeping duties as well. Per executive director staff #1(S1) was hired by previous administrator and was not aware the staff did not have a background clearance. Once executive director found out the staff was removed from the facility and background clearance was requested. Document review revealed S1 was hired on 2/16/22 and last day of employment was on 2/8/24. On 2/8/24 LPA Martinez conducted a case management visit in which a review of background clearance was conducted. During that visit it was found S1 did not have a background clearance for which deficiencies and immediate civil penalties were noted. Based on LPAs interviews which were conducted and records review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED . California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D. Exit interview was conducted with Shannon Moore and a copy of this report, LIC 9099D, and appeal rights were provided. Interviews conducted with residents revealed 7 out of 9 residents interviewed stated staff are not rude or aggressive. 2 out of 9 residents were not able to answer due to cognitive skills. Interviews with staff revealed 9 out of 9 staff interviewed stated staff have not been observed to be rude to residents. On 12/3/25 LPA Flores conducted interviews with residents who stated staff treat them well and staff have not observed staff being disrespectful towards residents. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED . Exit interview was conducted with Shannon Moore and a copy of this report was provided.