Complaint·March 24, 2026

(Cont. from LIC 9099) Interviews with staff corroborated the allegation, as staff reported the facility does not have sufficient staffing to meet resident care needs. Staff reported frequent shifts with only two caregivers responsible for more than sixty (60) residents, including multiple residents requiring two-person assistance. Staff also stated that the Resident Services Director and other non-direct care staff would frequently cover caregiver shifts due to shortages. Management acknowledged the use of external staffing agencies to compensate for staffing shortages. Resident interviews further corroborated staffing concerns, with residents reporting long wait times for assistance, delayed responses to call pendants, and challenges receiving timely incontinence care throughout their residence at the facility. Residents interviewed have resided at the facility for over three years and indicated that these delays have been an ongoing issue throughout their stay. A facility records review of staffing schedules confirmed an average of approximately two to three caregivers per shift who were able to provide lifting or physical assistance to over sixty (60) residents. Based on relevant interviews and records review, the preponderance of evidence has been met that the alleged violation occurred and is therefore substantiated. A deficiency is cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D). A Plan of Correction was jointly developed with the licensee. An exit interview was conducted with Executive Director Tia Suuronen-Goodwin, to whom a copy of this report, and the Licensee/Appeal Rights (LIC9058 03/22) were provided. (Cont. from LIC-9099A) Regarding the allegation that the facility is in financial distress, specifically related to maintaining hygiene supplies and sufficient food, during unannounced visits, LPA observed an adequate supply of hygiene products as well as sufficient food observed in the dining area. Resident and staff interviews consistently stated that hygiene supplies are regularly provided and accessible. Records review of food supply invoices showed ongoing and consistent purchases across all food groups. Review of invoices for incontinence and hygiene products showed consistent and sufficient purchases of hygiene and incontinence supplies. Regarding the allegation that the facility did not provide residents with sufficient food, residents consistently reported that they receive enough food for their meals. Regarding the allegation that the facility did not have sufficient hygiene items, interviews reported that some staff prefer using briefs over pull-up products because they find them easier to manage, however, pull-up incontinence products were available at the facility. Regarding the allegation that the facility is malodorous, interviews with staff and residents consistently stated that they have not observed any foul or persistent odors in the facility and reported that housekeeping staff clean the facility daily. During multiple unannounced visits, LPA did not observe any malodors in the facility. The Department has investigated the above-mentioned allegations and based upon the information obtained during this investigation, it is determined that the preponderance of evidence was not met to support or corroborate these allegations and therefore deemed unsubstantiated. An exit interview was conducted with Executive Director Tia Suuronen-Goodwin, to whom a copy of this report and the Licensee’s Rights (LIC9058 01/16) were provided.