Complaint·August 26, 2025

[CONTINUED FROM LIC 9099] Interviews aligned to show that during the morning of 08/26/2025: Staff #1 (S1) was the sole employee on duty and left the premises. [See LIC811 Confidential Names List for a description of select person identifiers used in this report.] There was a period of at least one (1) hour when there were residents in care at the facility without on-duty staff present. While S1 was away, medications for one (1) resident were temporarily left atop the dining room table in plain view, unsecured and unlocked. Based on interviews, a preponderance of evidence exists to show Licensee had an absence of supervision at the facility, and that Licensee did not ensure that medications were secured/locked. Both allegations were therefore Substantiated. Deficiencies were cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D page). Since one of the deficiencies pertains to absence of supervision, a Zero Tolerance Violation Civil Penalty of $500 was also assessed/charged (refer to the attached LIC421-IM page). Since the medication deficiency is a repeat violation within a twelve (12) month period, a Repeat Violation Civil Penalty of $250 was also assessed/charged (refer to the attached LIC421-FC page). Plans of Correction were jointly developed with the Licensee. An exit interview was conducted with Licensee Dr. Mohammad Rahman, to whom a copy of this report, the LIC 9099-D page, the LIC421-IM page, the LIC421-FC page, the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided.