Complaint·December 11, 2025

Licensing Program Analyst (LPA) Tiffany Holmes conducted a facility visit to conclude a complaint investigation. LPA gained access to the facility, identified herself and met with Executive Director (ED) Julia Lopez to whom was explained the purpose of the visit. The Department’s investigation consisted of staff and resident interviews, a facility tour, and a facility records review. The initial visit was on 09/16/2024. It was alleged that the facility staff yelled at resident in care and the facility staff did not respond to residents' requests for assistance in a timely manner. Interviews conducted with facility staff revealed Resident 1 (R1) walked into the kitchen where it is noted that no residents are allowed and the staff asked R1 to leave. Interviews revealed they did not yell at R1 but was adamant about the resident leaving for their own safety. Interviews revealed R1 was able to get in the kitchen area and the staff tried to explain to R1 that they needed to leave out due to many reasons for instance, the floors can be wet, there are sharp objects, hot items, etc. Interviews revealed R1 eventually left out of the kitchen. Interviews revealed when residents need assistance they hit their call button/ pendant that is around their neck or their watch. Once the pendant is activated the alert goes to all care providers. They have at least 10 minutes to assist the residents by going to their room and asking what they need. The pendant is reset by touching the residents and staff pendant and then the care team recieves a text that it has been reset. Interviews revealed there haven't been any complaints to the ED that the residents needs have not been met. Based on the evidence obtained, there was insufficient evidence to prove that the facility staff yelled at resident in care and facility staff did not respond to residents' requests for assistance in a timely manner. The allegations are unsubstantiated. An exit interview was conducted with Lopez, to whom a copy of this report, and Licensee/Appeals Rights (LIC 9058), were provided at the conclusion of the visit.