complaint·February 25, 2026

(Continue from LIC9099) A review of facility and resident records revealed that R1 has a documented diagnosis of mild cognitive impairment. R1 was unable to recall specific details of the alleged incident. However, during interviews, R1 stated that staff were nice, treated them with respect, and did not intentionally hurt them, but were attempting to assist with incontinent care. Interviews conducted with residents, staff, and outside sources did not disclose any corroborating evidence to support the allegation. Residents and outside sources did not express concerns regarding staff mishandling residents in an inappropriate manner. Staff interviews consistently indicated that direct care staff receive appropriate training, including proper techniques for assisting with transfers and activities of daily living, to ensure the health and safety of residents. Staff reported that care is provided in accordance with residents’ individualized service plans. Staff denied the allegation and stated they were not aware of any incidents involving residents reporting pain or sustaining injury following toileting assistance. During a visit to the facility on February 11, 2026, R1 was observed with no visible signs of abuse or neglect. Additionally, a review of R1’s daily notes for the relevant time period did not reveal any documentation supporting the allegation. Based on observations, record reviews, and interviews conducted with staff, residents, and outside sources, there was insufficient evidence to support the allegation that staff handled R1 in a rough manner causing injury. The preponderance of evidence standard was not met; therefore, the allegation is deemed Unsubstantiated. An exit interview was conducted with Executive Director, Jessica Zepeda. A copy of this report and the Licensee Appeal Rights (LIC 9058, 03/22) and LIC811, were provided at the conclusion of the visit.