complaint·May 20, 2025

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegation. LPA met with Executive Director Cristina Ceballos, and discussed the purpose of the visit. Based on interviews with staff and residents, it was determined that Resident 1(R1) sustained an injury due to a fall caused by their sandals. At the time of the incident, Staff 1 (S1) was in the dining room with Resident 2(R2) when R1 entered, shouting, which led to both R1 and R2 becoming agitated. S1 promptly redirected R1 out of the dining room. While walking backward, R1's sandal caught on the floor, causing them to fall and hit their head. S1 immediately responded, providing assistance to R1 and calling 911. Based on observation, interviews, and pertinent documents the allegation is unsubstantiated. An Unsubstantiated complaint means, that 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. An exit interview was conducted with Executive Director Cristina Ceballos and a copy of this report was provided at the conclusion of the visit.