complaint·December 4, 2025

Allegation #1: Staff mishandled the residents' medications. The complaint alleged poor management, lack of knowledge regarding medication and Title 22, and stated that medications were seen on the floor, then picked up and given to residents. On December 4, 2025, LPA Richard interviewed Administrator #1 (A1), who denied the allegation and stated that no staff had ever mishandled any residents' medications. A1 also said that all staff members who assist with medications had proper training. During the same timeframe, LPA Richard also interviewed five residents, #1-5 (R1-R5), all of whom denied that staff ever gave them medications from the floor. Additionally, LPA interviewed four staff members, #1-4 (S1-S4), all of whom denied the allegation. On December 4, 2025, LPA Richard reviewed medication records and confirmed that all residents received their medications without discrepancies. LPA also reviewed the facility's notes, which confirmed that no medication errors occurred and that no medicines were missing from any residents' Medications Mar. Based on the information collected from the facility inspection, interviews, and records reviewed, LPA found no evidence to support the above allegations. Although the allegations may be valid or have occurred, there is insufficient evidence to establish whether the alleged violations took place or did not. Therefore, the allegation is unsubstantiated. Report Continued on LIC9099C Allegations #2: Staff are not providing adequate care and supervision. The complaint alleged that the residents are not being adequately cared for. On December 4, 2025, the LPA interviewed the Administrator (A1), who denied the allegation and stated that the facility has many staff members working to ensure the residents are well cared for and supervised. During the same period, LPA Richard also interviewed five residents, #1-5 (R1-R5), all of whom denied the allegation and said they are satisfied with how staff care for them. Additionally, the LPA interviewed four staff members, #1-4 (S1-S4), all of whom denied the allegation and stated that the facility is fully staffed, and staff are always available to assist residents. S1-S4 noted that this is a 24-hour care facility operating seven days a week, 365 days a year. Residents are never left alone at the facility without supervision. The facility operates in three shifts: 6:00 A.M. - 2:30 P.M., 2:30 P.M. - 10:30 P.M., and 10:30 P.M. – 6:30 A.M., Sunday through Saturday. A1 stated that they are on call 24 hours a day. Based on the information collected from the facility inspection, interviews, and records reviewed, LPA found no evidence to support the above allegations. Although the allegations may be valid or have occurred, there is insufficient evidence to establish whether the alleged violations took place or did not. Therefore, the allegation is unsubstantiated. Report Continued on LIC9099C Allegation #3: Staff does not ensure the facility is free of odor. The complaint alleged that the facility had a strong odor. On December 4, 2025, LPA Richard interviewed Administrator #1 (A1), who denied this allegation. A1 explained that the facility employs multiple caregivers/housekeepers who clean and disinfect both the facility and the residents' rooms daily. The housekeepers perform tasks such as mopping and vacuuming each resident's room. During the same period, LPA Richard interviewed five residents (R1-R5), all of whom also denied noticing any unpleasant smells in the facility. Additionally, LPA Richard spoke with four staff members (S1-S4), who similarly denied the allegation, stating that the facility is cleaned, sanitized, and disinfected daily to maintain a pleasant atmosphere. On December 4, 2025, LPA Richard reviewed the schedule records for caregivers and housekeepers and confirmed that all residents' rooms are cleaned daily. LPA Richard also conducted a facility tour and observed that all 9 inspected rooms were clean and odor-free. Based on the information collected from the facility inspection, interviews, and records reviewed, LPA found no evidence to support the above allegations. Although the allegations may be valid or have occurred, there is insufficient evidence to establish whether the alleged violations took place or did not. Therefore, the allegation is unsubstantiated. No deficiencies were cited. An exit interview was conducted. A copy of the report was provided to the Administrator Venkata Sivaganesh Mullapudi.