complaint·October 23, 2025

Interviews with six of six staff members corroborated that no observations of a broken bed had been reported. On June 4th, 2025, LPA toured the facility documenting observations. LPA inspected 14 rooms, noting that no inadequate sleeping arrangements were observed. LPA noted proper bed accommodation in 14 of 14 rooms with proper bed frames and mattresses. Through resident interviews, 3 of 3 revealed no issues with their sleeping accommodation or aware of any reported broken beds. Multiple interview attempts were made with Additional Witness 1 (AW1) to gather further information, however, AW1 did not respond to the interview request. Through record review, no special incident reports or maintenance orders documenting a broken bed were reported. In response to the allegation that the Facility Administrator is not present on the premises for a sufficient number of hours, it was reported that AW1 attempted to speak with management regarding a resident’s inadequate sleeping accommodations, but management was unavailable. Information obtained from an  interview with ED, stated they are regularly on-site Monday through Friday from 8:00 AM to 5:00 PM. It was also advised that an additional Administrator is present during similar hours to provide support.  Interviews with all six staff members corroborated that both the ED and Administrator are consistently available in person to assist staff and visitors. Staff further indicated that both administrators are accessible by phone when not physically present at the facility. Information obtained from interviews with residents stated that Administrator is available during weekday hours. A review of records confirmed that both the ED and Administrator hold valid Administrator certificates. Additionally, Title 22 regulations do not specify a required number of on-site hours, but indicated the importance of fulfilling the responsibilities associated with the role. The regulations also permit the use of designated substitutes who possess adequate qualifications to be responsible and accountable for the facility’s management and administration. Staff schedules reviewed, verified that both the ED and Administrator are scheduled to be on-site Monday through Friday, from 8:00 AM to 5:00 PM documenting compliance with regulation. Continued on LIC 9099-C. Based on interviews, record reviews, and observations the allegations staff did not ensure resident had adequate sleeping accommodation and Facility’s Administrator is not on the premises a sufficient number of hours has been deemed UNSUBSTANTIATED. A finding that the allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted. A copy of this report was provided to Executive Director Valeria Garcia and Business Office Manager Judine Ramirez.