Complaint·January 28, 2026

(Continued from LIC9099 p.1) Outside source interviews revealed that for subsequent calls, R1 was informed of the calls and the outside source was able to speak to R1 via phone. Records review corroborated staff statements regarding the initial instruction for staff not to inform the outside source that R1 lived at the facility. Records additionally reflected the subsequent changes made by the facility regarding R1 being allowed to make the decision to receive or reject incoming phone calls. R1 was interviewed during an unannounced facility visit. Due to cognition, R1 was observed to have partial orientation. R1 informed that if they received a phone call from the outside source they would accept it. 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 Rob Daynes, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided. (Continued from LIC9099 p.1) During an unannounced facility visit LPA directly observed a posted visitation sign in the main hallway that stated the facility's visitation policy. The visitation policy stated that residents can receive visitors at any time, provided that the visitors respect the rights of residents and staff and abide by visitation policies during the visit. R1 was interviewed during an unannounced facility visit. Due to cognition, R1 was observed to have partial orientation. R1 informed that they have received visits from outside parties at the facility but was not able to recall specific information or dates. Based on interviews and records review, a preponderance of evidence does not exist to prove that the alleged violation occurred, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted with Executive Director Rob Daynes, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.