complaint·August 7, 2025

S1 was present at the facility in the late evening to provide overnight on-call supervision. Interviews asking about S1’s job responsibilities revealed that S1 provided showers and bed baths for 1 to 2 residents during the day. Interviews with residents and the Licensee revealed that the Licensee was at the facility most days of the week between a couple of hours a day to all day and was also on call. Residents stated they would voice any concerns to the Licensee instead of S1 and noted the Licensee as the owner of the facility. Interviews with the Licensee stated that S1 was responsible for providing direct resident care to one resident and was also responsible for overnight care, completing paperwork and scheduling staff. During visits to the facility on 5/23/2025, 6/5/2025, and 8/7/2025, LPA Borunda interacted with the Licensee to obtain resident and staff records and LPA did not have any interactions with S1. The Department attempted to interview S1 for the investigation, however, S1 did not respond to LPA’s multiple contact attempts. Additionally, review of the Administrator Certificate lists revealed that the Licensee’s most recent Administrator Certificate expired on 1/18/2019 and as of 8/7/2025, the Licensee did not have a current active Administrator Certificate. Interviews with the Licensee confirmed that they did not have a current Administrator Certificate. The Department has investigated the above-mentioned allegation and based on interviews and records review, the preponderance of the evidence has been met, therefore, this allegation is deemed substantiated. The following deficiency is cited per CA Code of Regulations Title 22 and noted on the attached LIC9099-D page. An exit interview was conducted with Licensee Monica Siharath, whose signature below confirms receipt of a copy of this report, LIC811, and the Licensee Appeal Rights (LIC9058 03/22).