Complaint·March 25, 2026

Residents (R1) stated their toileting needs are met. LPA held a collateral interview with the reporting party (co-RP) whom did not have specific insight into concerns regarding toileting needs. S1 and Staff 2 (S2) stated all resident toileting needs are being met. LPA observed three occupied resident rooms were clean and free of odors. On 1/26/26, S1 stated that bathing and toileting needs are handled by facility staff. Stating that toileting and changing for residents is handled every 2 hours or as needed, “no residents in the facility have no incontinent odor or skin issues because facility staff take care of the residents” bathing and toileting needs. S1 stated Resident 1 (R1) cannot sit for long periods of time, because of damage to their lower extremities, administrator stated that R1 has had physical therapy but it was reported that the resident will decline to walk. S2 stated that all residents here in the facility are healthy and usually don’t have hospital ER visits. R1 has had Urinary tract infection (UTI) about once a year, however R1’s physician regarding how the facility can improve in order to help the resident with UTI’s, and was told that UTI happens, and its nothing the facility has done to cause the infections. Based on interviews and record review the allegation that “staff do not ensure resident's toileting needs are met” is unsubstantiated. Allegation 2: Staff do not provide daily activities for residents. It was alleged “Staff do not provide daily activities for resident”, this investigation consisted of interviews with staff, residents, records review, and observations. This investigation focused on Resident 1(R1) Throughout the process, the LPA conducted facility observations during multiple visits, interviewed on duty staff and residents, collateral interviews, and reviewed all relevant documents related to R1. LPA reviewed the following records for R1, LIC 601 Identification and Emergency Information, LIC 602A Physician's Report, Admission's Agreement, LIC 603 Preplacement Appraisal Information. Per record review of R2s care plan and incident reports. LPA did not observe an activity calendar posted in a common area. S1 stated activities are offered everyday and based on interest. An activity calendar is in the facility binder. S1 stated they are working on obtaining a digital calendar to have available in a common area. On 1/26/26, LPA Shakaricka Hughes toured inside the facility and observed (1) resident sitting at the kitchen table having lunch, and facility staff (S2) assisting a resident in the facility. LPA observed (2) residents in their rooms resting at the time of the visit. CONTINUED ON 9099-C On 3/24/26, S1 and S2 stated facility staff do provide daily activities for residents. LPA observed activities available for residents include puzzles, books, bingo, scrabble, UNO, coloring/painting supplies.. S1 stated outdoor activities include walking, exercising, bowling set, balls, snacks outside. During this visit, LPA observed two residents eating lunch and one resident was resting in their room. R1 was eating in their bedroom. One resident was not present at the facility. Resident 1 stated they want to be in bed and like watching television. The reporting party did not have any insight into concerns around activities including walking being provided at the facility. On 1/26/26, Administrator (S2) stated that no residents ask about activities, stating that the facility interacts with residents and has activities here in the facility, however it is residents choice. Two residents are non-ambulatory and usually do not want to do participate in anything . One resident has memory loss and does not engage for long periods of time. S2 stated resident can choose to do what they like in the facility, but usually has a routine. One resident goes to day program on Wednesday’s and Friday’s, times vary as the resident may have appointments. R1 does not receive physical therapy at this time. Based on interviews and LPA and review of records the allegation that “Staff do not provide daily activities for residents”, is unsubstantiated Based on the interview statements and record review obtained during the investigation process, there is not a preponderance of the evidence to prove that the alleged violations listed above occurred. The Department has determined that the allegations above are unsubstantiated. As the allegation may have happened or is valid, 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. Exit interview was conducted with the facility administrator and a copy of this report was left at the facility