Complaint·July 24, 2025

S2 then revealed they heard someone knock on the front door when they were in the restroom, which was later answered by Staff #3 (S3). Screen captured image of S3’s location app showed they arrived at the facility at 1:47pm. S2 revealed after coming out of the restroom, S2 left out the front door. S2 did not have any proof of S2’s arrival or departure to the facility. Interview with Staff #3 (S3) was attempted in person and over the phone, however they were unavailable for interview. An interview with a confidential witness #1 (W1) was corroborated by police body camera footage and incident report. The footage shows W1 arrived to the facility at 1:36pm, where they did not receive a response until 1:46pm when S3 arrived at the facility. W1 visits Resident #1 (R1)’s room located next to the front door of the facility. A tour of the home is conducted and S3 is then questioned on who was with the facility residents prior to their arrival. S3 states S1 had just left through the front door when W1 was in R1’s room. However, W1 revealed in both footage and interview that they did not hear anyone leave through the front door. S1 was called immediately at 2:02pm, S1 informs they had left the facility 30 minutes prior, contradicting S3’s statement that S1 had just left. S1 then states S2 was at the home when they left, again contradicting S3’s statements that S1 was present last. After contacting S1, S3 changed their statement stating that S2 was present prior to their arrival, not S1. LPA attempted to interview R1 and R2, however they were not alert or oriented to questions asked by the LPA. Therefore, based on interviews, records review and observation the allegation that there was an absence of staff supervision on 06/30/2025 is substantiated. The preponderance of evidence standard has been met, therefore 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 was provided. Attempt to contact the licensee was conducted and the Licensee's spouse provided information on plan of correction.