complaint·April 28, 2025

Through interviews the investigation revealed that in the time frame covered by this complaint, facility staffing was of concern. Information was obtained that there was not any time when only one direct care staff had responsibility for the entire facility. Interviews revealed that the facility had strategies for when staffing is less than standard. The first is having all staff trained and required to supplement direct care staff as needed. An example is that medication staff will provide direct care. The other is to use a staffing agency to supplement regular employees. It was acknowledged that providing care for some residents may have taken longer than when they were fully staffed, but no evidence was revealed to determine that resident care needs went unmet or went unmet for an excessive period of time. Through interviews and a review of records, the investigation revealed that several of the specifics of the above allegations were regarding second-hand information. The extemporaneous notes from the individual who reportedly would have had the firsthand information did not mention any neglect or lack of care. Interviews did not reveal information that would support those allegations. This allegation is unsubstantiated. It was further alleged that the facility was not kept clean. Through interviews and observation it was revealed that the facility had stains on the on carpet and on a ceiling tile. Documents revealed that the facility had been licensed for one month when the allegation was made. The licensee had the carpets professionally cleaned two times in that month. The carpets were in place at the time the facility was licensed. The stained carpet, and the ceiling tile were replaced as verified by subsequent observation. Interviews revealed that housekeeping staff clean each room once a week. Minor cleaning, such as for spilled items, is conducted on an as needed basis by floor staff and larger cleanliness needs are reported to maintenance staff for a resolution. Although there were stains on the carpet, the investigation revealed that facility made appropriate efforts to eliminate the stains and replaced the carpet when those efforts were unsuccessful. This allegation is unsubstantiated. Based on the evidence obtained during the complaint investigation, both allegations above are UNSUBSTANTIATED, meaning there isn’t enough evidence to prove a violation occurred. An exit interview was conducted with Pamela Talmantes, Resident Services Director; a copy of this report and Licensee's Rights (LIC9058) were provided.