complaint·June 12, 2023

Licensing Program Analysts (LPAs) Tricia Danielson and Cheryl Goodrich arrived to the facility unannounce to conclude an investigation into the allegation listed above. LPAs identified themselves and met with Administrator (AD) Keely Miller. LPAs discussed the purpose of the visit and the elements of the allegation AD Miller. Regarding the allegation "staff took advantage of resident's visual impairment", it was alleged that Staff #1 (S1) removed their eyeglasses to hide their true identification from Resident #1 (R1) and due to R1's poor eyesight, identified themselves as someone else to R1 in an effort to get R1 to take their medication. Interview conducted with AD Miller revealed the incident did occur as alleged. Per AD Miller, R1 will not take their medications from S1. R1 has cataracts and S1 attempted to conceal their true identity from R1 by removing their own glasses to make R1 believe S1 was another staff member. R1 and S1 were unable to be interviewed. Based on LPAs observations, interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code Of Regulations, Title 22, Division 6, Chapter 8 is being cited on the attached LIC 9099 D.An exit interview was conducted and a copy of this report was provided along with Appeal Rights and LIC811-Confidential Names list.