complaint·December 16, 2025

Second allegation: Staff do not keep the facility free from bugs. Regarding the allegation stated above, LPA conducted a walkthrough of the facility memory care unit (MC), LPA inspected 13 out of 15 rooms during the inspection LPA inspected Room #1 during the inspection LPA observed an insect that appeared to be a cockroach walking on Resident #2-bedroom floor. In addition, during the inspection LPA asked S#1 if facility provides pest control services S#1 informed LPA that facility provides treatment however, S#1 could not provide the days. LPA was informed by S#2 that facility utilizes pest control services to treat bugs/and insects. Third allegation: Staff do not properly maintain the facility. LPA conducted a walkthrough of the facility memory care unit (MC), during the inspection LPA detected a strong foul odor of urine inside memory care area. LPA brought foul odor to Staff #1 attention and S#1 informed LPA that the urine smell comes from the carpet as the carpet can get soiled. Staff #1 informed LPA that the facility shampoos the carpet, however, S#1 could not provide LPA with the times and days that the carpet gets cleaned. Fourth allegation: Staff are not properly trained. Regarding the allegation stated above, during the course of LPA’s inspection, interviews, record review, and observation, LPA has determined that facility staff is not properly reporting or addressing resident[s] change of condition. During interviews conducted with staff regarding the hazardous condition LPA discovered R#1 mattress to be in LPA was informed that Resident #1 exhibits behaviors that present R#1 to have bowel or bladder impairment however, based on R#1 physicians report it indicates that R#1 does not have bowel or bladder impairment. In addition, LPA did not find any documents that indicate or specify that R#1 may have a bowel/bladder impairment, or any behaviors concerning R#1 toileting needs.Based on the evidence gathered during the investigation, the above allegations are Substantiated. A finding that the complaint is Substantiated means that the findings are valid because the preponderance of the evidence standard has been met. Title 22 regulations Personal Rights of Residents in All Facilities (a) (2) & (3), 87303 Maintenance and Operation (a)(1) from division 6, chapter, article 6, is, being cited on the attached LIC 9099 D. An exit interview was conducted where this report, appeal rights, and LIC9099-D was discussed, and a copy of the report was provided to Facility Resident Services Director Jonnathan Rios at the conclusion of the visit. Based on corroborating evidence the department has determined that the above allegations are 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 Administrator at the end of the visit.