complaint·June 16, 2025

Through file review and interviews, facility staff did not submit incident reports to the Department regarding R1’s behavioral changes, the staff did not document R1’s observed changes of behavior, and the Licensee did not develop a written care plan based on the observation of R1’s alleged new condition as advertised in the Admission Agreement signed by R1, R1’s responsible party, and Licensee. Information revealed the facility staff did not conduct a reappraisal of R1’s suspected new condition. Per Title 22, Section 87466, a licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional, and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. Furthermore, Licensee is required to conduct a reappraisal of the resident, if the residents are experiencing physical, mental, cognitive, behavioral and/or functional changes per section 87463. Based on file review and interviews, the preponderance of evidence standard has been met. Therefore, the above allegation is substantiated. California Code of Regulations Title 22 is being cited on the attached LIC 9099 D. An exit interview was conducted, and a copy of this report LIC 9099D, and appeal rights were reviewed and provided. Based on interviews and files reviewed, the allegation of staff does not have appropriate training is unfounded. A finding of Unfounded means the allegation could not have happened, is false, and/or is without a reasonable basis. An exit interview was conducted, and a copy of this report was reviewed and provided to Licensee, Masurrat Khan.