Complaint·May 5, 2026

Allegation #1: Staff are not properly trained. The complaint alleged that the staff was not properly trained. On April 28, 2026, the department interviewed the Administrator (A1), who denied the allegations and stated that all staff were properly trained. The department interviewed two Med Techs (MT1-MT2), who denied the allegation and stated that MT1-MT2, the caregiver, and the Housekeepers had all completed 12 hours of training from Relias and ongoing training. The department interviewed the RSD, who denied the allegation and stated that all staff were well-trained. The department interviewed the MCD, who also denied the allegation. The department interviewed five staff members (S1-S5), who all denied the allegation and stated that they were well-trained and had completed multiple Relias subjects. On the same day, the department interviewed six residents (R1-R6), all of whom denied the allegations and stated that the staff helps them when needed. On April 28, 2026, the department reviewed Relias staff training records dated 2024 and 2025. indicate that the staff was properly trained to assist residents. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur, therefore, the allegation is Unsubstantiated. Report Continued On LIC9099C Allegation #2: The facility do not have adequate supplies to care for residents. The complaint alleged that the facility lacks necessary supplies to care for residents and that staff are not properly trained. On April 28, 2026, the department interviewed the Administrator (A1), who denied the allegations and stated that all staff are properly trained. The department interviewed two Med Techs (MT1-MT2), who denied the allegations and stated that the facility has sufficient supplies to address residents' scratches; however, the facility does not treat wounds or apply antibiotic ointment. Residents need a doctor's order to apply antibiotic ointment. The department interviewed the RSD, who denied the allegations and stated that all staff are well-trained. The department interviewed the MCD, who also denied the allegations. The department interviewed five staff members (S1-S5), who all denied the allegations and stated that the facility has several first-aid kits with fully stocked supplies. On the same day, the department interviewed six residents (R1-R6), all of whom denied the allegations and stated that the staff helps them when needed. On April 28, 2026, the department observed that the facility had first-aid supplies for residents in case of emergencies. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur, therefore, the allegation is Unsubstantiated. Report Continued on LIC9099C Allegation #3: Staff does not ensure facility is free of pets. The complaint alleged a major ant infestation at the facility. On April 28, 2026, the department interviewed the Administrator (A1), who denied the allegations and stated that the facility has ORKIN, which visits the facility monthly to service the inside and outside. The department also interviewed two Med Techs (MT1 and MT2), who denied the allegations and stated that the facility doesn’t have any ant infestation.. The department interviewed the RSD, who denied the allegations and stated that all resident rooms are pets-free. The department also interviewed the MCD, who denied the allegations. The department interviewed five staff members (S1-S5), all of whom denied the allegations and reported not observing any ants, pets, or bed bugs in residents' rooms. On the same day, the department interviewed six residents (R1-R6), all of whom denied the allegations and stated that staff help them when needed. They also reported not noticing any pets or bed bugs in their rooms. On April 28, 2026, the department toured the first, second, third, and fourth floors and visited rooms 107, 218, 224, 301, 308, 322, 327, 338, 405, 429, and 442; no ants, pets, or bed bugs were detected. The department reviewed records of ORKIN pest control services at the facility on 9/4/25, 9/13/25, 10/9/25, 10/13/25, 12/8/25, 1/6/26, 2/5/26, 2/16/26, 3/5/26, and 3/20/26. Report Continued on LIC9099C Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur, therefore, the allegation is Unsubstantiated. No deficiencies were cited. An exit interview was conducted. A copy of this report was provided to the Administrator, Austin Irwin.