Complaint·October 3, 2025

On 8/25/25 the outdoor temperature was 105 degrees F* and the facility interiors (bedrooms and common areas) were not 30 degrees below outdoor temp (75 degrees). The use of the Infrared thermometer gun, wall thermostats, and observations were used to determine temperatures. Staff interviews, resident interviews, and observations determined that at least two thermostats in the hallway and three resident bedrooms were not functioning properly. Residents and staff confirmed staff are verbally notified if their room is not cooling, in which a maintenance ticket is created and the maintenance worker offers to install a standing/portable AC units and /or fans. Staff have placed standing/portable AC units in resident rooms when the central AC is not cooling all rooms properly, in which portable cooling units or switching rooms were offered to residents. Staff reported that historically the AC has not operated as it should, especially in the summertime and have put standing AC/portable AC units and/or fans in resident bedrooms as needed as a temporary solution. Staff admitted the AC unit is not always in working in good condition and there is an ongoing issues with the AC unit in the building. On 8/21/25, the DFA stated the facility was in the process of obtaining bids to install a more permanent solution in the server room and hallway area in which there is lack of ventilation as well as possibly some swap coolers. During this visit, on 10/3/25, DFA stated the facility is actively working to resolve the AC unit issue and there is improvement on this matter. DFA also stated the facility started to routinely change out air filters as of 9/15/25. DFA stated that changing out air filters has helped the AC unit function properly, as it is not working as hard. The facility is able to maintain an average between 75-80 degrees in the past month. Residents in rooms 36-71 have been relocated as the rooms are undergoing renovation to ensure all furnishings are operating properly, including the air conditioner and plumbing. Based on observations, record review, and interviews, the allegation that staff did not ensure that facility A/C is operable SUBSTANTIATED. Based on the information gathered through observation and record reviewed, the preponderance of evidence was met, therefore the above allegations noted were SUBSTANTIATED. one deficiency was cited (See LIC809D). An exit interview was conducted with DFA and a copy of these LIC 809 reports, LIC 809-D page, and Appeals rights were provided to the facility. On 08/13/25, Licensing Program Analyst (LPA) Kimberly Viarella substantiated an allegation that staff are mismanaging resident's medications. Additionally, LPA Viarella is working with the facility to address issues around the facility not submitting timely reporting requirements. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred at this time. Based on observations, record review, and interviews, the allegation that staff are administering the incorrect medication to residents in care is UNSUBSTANTIATED but if any additional information is received this complaint can be amended and the finding can be changed. There are no deficiencies cited per California Code Regulation, TITLE 22 regarding this allegation. Exit interview was conducted with the facility administrator. Appeal Rights were issued, and a copy of this report was left at the facility.