complaint·December 30, 2025

LPA reviewed facility records, including the facility file, prior complaints, and the personnel roster (LIC 500). LPA also conducted a search in Guardian to determine whether an individual (S6 ), or any similar name, was associated with the facility or held an active background clearance. S6 was disassociated from this facility in 5/1/2019. A review of a previous licensing reports confirmed that S6 was involved in a substantiated complaint in 2018 regarding the sexual assault of a resident. Administrator provided the current LIC 500, staff schedule, and personnel files for all staff currently employed. Administrator stated that S6 is a former staff member and has not worked at the facility since 2018. LPA conducted a walkthrough of the facility and observed two care staff on duty and two maintenance worker on duty. LPA verified the identity of each care staff member present by reviewing government issued identification and comparing names to Guardian and the LIC 500. All care staff present were associated to the facility and had active background clearances. The identity of the 2 maintenance workers could not identified with their government issued identification, as they were not able to provide at this time. Interviews confirmed that the two maintenance workers, including S2, do not have background clearance through Guardian. Staff also confirmed that S2 sometimes performs maintenance tasks and housekeeping chores inside the facility. Interviews with staff (S1 and S2) revealed that S2 slept on the facility property on the night of 12/29/25, inside S2’s red van. The Administrator denied having knowledge that S2 slept on the property that night. Interviews with staff and residents confirmed that S2 does not provide personal care to residents. Interviews also reported that S2 performs maintenance work inside the facility, doing housekeeping work and sometimes watch TV with residents. Based on interviews, record reviews and observations, evidence collected does not sufficiently show that staff, S2, is providing personal care to residents in care. Additionally, there is no sufficient evidence to show that a former care staff member, S6, still works at this facility. Finally, there is no sufficient evidence to conclude that S2 is the same person as S6. Therefore, the allegation that an uncleared staff providing care to residents is unsubstantiated. A finding that the complaint 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. Per CCR (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies cited. Advisories were provided. An exit interview was conducted, and a copy of this report was provided. {2 of 2}