complaint·October 23, 2025

The department has determined the following as it relates to the allegation staff are not allowing resident to use restroom closest to their bedroom: Based on interviews, the above allegation is UNSUBSTANTIATED, which 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. No deficiencies were cited regarding this allegation. An exit interview was held and a copy of this report was left with Bigelow. In an interview, R1 said several personal items have gone missing since they moved in. R1's admission agreement indicates they moved in on 9/10/25. In an interview, S1 said they started working at this facility about two weeks ago. S1 was associated to this facility as of 10/14/25. S1 said that, when they started, R1 informed them that a hat and a bluetooth speaker were both missing. S1 said that the speaker was back in R1's possession as of 10/22/25, although their hat was found previously. In an interview, R1 said their bluetooth speaker went missing about three weeks prior to this visit, and they found it about two days ago. LPA Moleski reviewed R1's file. LPA Moleski observed no documentation regarding any loss of R1's property. In an interview, R1 said their iPad also went missing the day before yesterday. R1 alleged that it was stolen. In an interview, Bigelow and S1 both said they were notified of this alleged theft on the morning of 10/22/25. HSC Section 1569.153(i) requires that licensees make a police report within 36 hours when they have reason to believe a theft has occurred involving property worth $100 or more. As it has been less than 36 hours since this report was made to Bigelow, this subsection has not been violated. R1 told LPA Moleski that they reported this alleged theft to local law enforcement during this visit. Officers arrived and met with R1. HSC Section 1569.153(c) requires the following: " Documentation of lost and stolen resident property with a value of twenty-five dollars ($25) or more within 72 hours of the discovery of the loss or theft ... The documentation shall include, but not be limited to, the following: (1) A description of the article. (2) Its estimated value. (3) The date and time the theft or loss was discovered. (4) If determinable, the date and time the loss or theft occurred. (5) The action taken." LPA Moleski observed no such documentation in R1's file regarding their missing bluetooth speaker. 22 CCR Section 87218(a)(2) states that " The licensee shall be presumed to have made reasonable efforts to safeguard resident property if there is clear and convincing evidence of efforts to meet each requirement specified in Section 1569.153. " A failure to document property loss, as required by HSC Section 1569.153, even if that property was later found, means that the licensee is presumed not to have made reasonable efforts to safeguard resident property. LPA Moleski reviewed R1's personal property inventory and observed that no inventory was made of R1's property. A cross was drawn through the property inventory form. R1 and Bigelow both signed the form. HSC Section 1569.153(d) states that " The facility shall not be liable for items which have not been requested to be included in the inventory ..." [continued on 9099-C] The department has determined the following as it relates to the allegations that staff are not safeguarding resident belongings, and that staff do not treat resident with dignity and respect: Based on interviews and record review, the above allegations are SUBSTANTIATED. A finding that the complaint allegations are substantiated means that the allegations are valid because the preponderance of evidence standard has been met. This facility is hereby cited per HSC Section 1569.153(c) and 22 CCR Section 87468.1(a)(1). An exit interview was held with Bigelow. Appeal rights and a copy of this report were left with Bigelow.