complaint·August 26, 2025

[CONTINUED FROM LIC 9099] During today’s visit, LPA observed, and staff interviews confirmed: The facility currently has seven (7) residents in care. Records and staff interviews showed that the seventh resident, Resident #7 (R7), moved into the facility on 08/25/2025. [See LIC811 Confidential Names List for a description of select person identifiers used in this report.] Per LPA observation, R7 is currently in a bedroom with one other housemate/roommate. The room they share is sufficiently large/spacious to comfortably accommodate both residents, and this bedroom also has its own bathroom. The room has an immediate exterior exit door, which is appropriate for R7’s non-ambulatory status (per their latest LIC602 Physician's Report). CCLD had prior received an application from Licensee to increase the facility’s capacity. However, this application is still pending / in process, and Licensee was not yet authorized to have more than six (6) residents in care at this time. Based on records and interviews, a preponderance of evidence exists to show that Licensee operated the facility over capacity. The allegation is therefore Substantiated. One (1) deficiency was cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D page). Since the deficiency is also a violation of the facility’s Fire Clearance, an Immediate Civil Penalty of $500 was also assessed/charged (refer to the LIC421-IM page). A Plan of Correction was jointly developed with the Licensee. An exit interview was conducted with Caregiver Rosario "Pie" Sales, to whom a copy of this report, the LIC 9099-D page, the LIC421-IM page, the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided. An electronic set of these same documents was E-mailed to Chief Operating Officer Lynn Drummond during today's visit.