complaint·August 8, 2025

In addition, based on R#1 admission agreement LPA observed facility to have a theft and loss program, which indicated that facility maintain a theft and loss policy. During further review LPA observed that R#1 did not have a theft and loss policy on file. Third allegation: Staff do not have adequate record keeping for a resident. Regarding the allegation stated above LPA collected documentation pertaining Resident #1 during record review LPA discovered that R#1 inventory form was missing in addition, LPA also discovered that R#1 theft and policy form was also missing and not to be found. Based on review of records and evidence gathered the above allegations are 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, Maintenance and Operation 87303(a), Theft and Loss 87218(a)(1)(2), Resident Records 87506(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 (LIC 9099) was discussed, and a copy was provided, along with a copy of the appeal rights to Facility Business Office Manager Michelle Reyes. the (L unit). LPA collected activity calendars. On 8/8/2025 LPA conducted a follow-up inspection and observed that activity room is still located in (L unit), LPA observed residents playing bingo. In addition, LPA collected an activity calendar for the month of August. Third allegation: Staff did not provide comfortable accommodations for a resident. Regarding the allegation stated above LPA conducted interviews with Residents 1-3 regarding the allegation “staff did not provide comfortable accommodations for a resident” all residents informed LPA that they have no issues to report regarding the allegation and feel that their accommodations are being met by staff. LPA conducted a walkthrough of the facility and observed units to have a working AC, LPA observed all rooms to be cool/and fresh. LPA conducted interviews with Staff 2-4 and all staff informed LPA that all residents receive comfortable accommodations. In addition, Staff #3 informed LPA that facility has water available in dining area. Furthermore, S#3 informed LPA that during round checks caregivers provide water to residents daily. Based on corroborating evidence obtained during the course of the investigation, LPA has determined that the above allegation is 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 Business Office Manager Michelle Reyes at the end of the visit.