complaint·August 13, 2025

During review of record where R#1 was admitted demonstrated that R#1 arrived at the facility with pressure sores on legs and back. Local hospital listed Resident #1 pressure injury to be at a stage 3 injury appearance. Based on the evidence gathered during the investigation, the above allegation is Substantiated. Substantiated A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Title 22 regulations, Personnel Requirements – General 87411 (a), from division 6, chapter, article 6, is being cited on the attached LIC 9099 D. An exit interview was conducted where this report (LIC 9099) was discussed, and a copy was provided, along with a copy of the appeal rights to Facility Caregiver. ***In addition*** An immediate civil penalty is assessed for $500.00, per Health and Safety Code 1548 (c). In addition, an additional review is being conducted and additional civil penalty may be imposed per Health and Safety Code 1569.49 (f). Exit interview conducted and copy of report provided to Facility Caregiver Alexia Portillo Staff #1 informed LPA that staff is unaware if refund was given to R#1 responsible party. LPA attempted to contact R#1 reporting party, however, was unsuccessful. LPA observed that other attempts to contact R#1 responsible party were made however, no calls were answered or returned. Third allegation: Staff obstructed resident relocation by not permitting the removal of resident's belongings. Regarding the allegation stated above LPA conducted an interview with Staff #1 regarding the allegation S#1 informed LPA that belongings were not withheld and were given to R#1 responsible party. In addition, Staff #1 informed LPA that Resident #1 responsible party had arrived with Law Enforcement to the facility and not because the facility was refusing to release R#1 personal belongings. LPA attempted to contact Resident #1 reporting party however, calls were not answered or returned. Based on lack of evidence obtained during the course of the investigation, LPA has determined that the above allegations are Unsubstantiated. Unsubstantiated: meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted where this report (LIC 9099) was discussed, and a copy was provided to Facility Caregiver Alexia Portillo at the end of the visit.