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Inspection visit

Complaint

Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

[CONTINUED FROM LIC 9099] The Complainant claimed around 07/24/2025, S1 confiscated marijuana from R1’s bedroom table, in R1’s presence and with R1’s knowledge. The Complainant did not know the rationale for the action but made it clear that they did not suspect Licensee’s staff of taking the marijuana for personal use. Review of R1’s latest LIC602 Physician’s Report showed that while R1 was not formally diagnosed with Dementia or Mild Cognitive Impairment (MCI), their doctor indicated that R1 did have “cognitive deficits.” Per the LIC625 Appraisal/Needs and Services Plan which Licensee authored, R1 was “forgetful at times.” R1’s medication list did not include a doctor’s order/prescription for marijuana. Per LPA’s own interview of R1: R1 denied having Dementia or MCI, but they told LPA that they were sometimes forgetful. R1 stated that their responsible person (RP) typically brought them eight (8) buds of marijuana purchased from a dispensary store, at the beginning of every month, once per month. They said the RP would hand this quantity over to facility staff, who were responsible for centrally storing and handing R1 their marijuana (in smaller amounts) alongside their prescription medications. R1 said they typically consumed one (1) bud per day, and that they consumed marijuana on a consistent daily basis. When asked if R1 ever typically skipped days (i.e., if there were days in between when they didn’t consume marijuana), R1 said no; R1 said they asked for it every day without failure. Regarding the date in question, R1 denied S1 coming to their room to confiscate their marijuana. R1 instead said they personally handed three (3) buds of marijuana to S1 for temporary safekeeping but later could not get it back from S1, for unclear reasons. However, R1’s account of the incident contradicted the account they had earlier given to a credible and neutral third-party source, whom LPA interviewed. LPA denied staff ever taking or withholding any other personal possession from them. In their interview with LPA, S1 denied confiscating marijuana from R1, at any time. Interviews of multiple caregivers aligned to show: R1’s RP typically visited the facility once at the beginning of each month to deliver R1’s marijuana to facility staff for central storage. Every day, staff gave marijuana in smaller increments to R1, until this supply was depleted. (Staff’s description of the approximate quantity of marijuana which RP provided to them monthly approximated the same quantity which R1 themselves said their RP delivered.) [CONTINUED ON LIC 9099-C, 2 of 2] [CONTINUED FROM LIC 9099-C, 1 of 2] Staff unanimously reported that R1’s typical rate of consumption meant that their supply of marijuana would last until the 15th of the month in a best case scenario, but often ran out sooner. They said R1’s RP simply did not provide R1 enough marijuana to last R1 the whole month. They said on past occasions, when they repeatedly informed R1 that the supply was depleted, it was common for R1 to not believe them. LPA also interviewed each of R1’s five peers/housemates; of these, one was too disoriented to answer questions. The other four residents said the facility’s staff treated them well, and each denied staff ever trying to take away or withhold their personal belongings. Based on records and interviews, a preponderance of evidence does not exist to show that Licensee's staff took resident's private property. The allegation is therefore Unsubstantiated, and no deficiency was cited for it. An exit interview was conducted with Licensee Anna Petrosyan and Caregiver Jose “Manuel” Hernandez-Mendez. A copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided to Licensee during today’s visit.

Citations

1 citation recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87203Type A

    Maintain facilities for fire and panic safety

    87203 Fire Safety: “All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic.” This requirement was not met, as evidenced by: Based on LPA observation and manager interview, Licensee did not maintain the facility in continuous conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire. This posed an immediate safety risk to 6 of 6 residents [R1 through Resident #6 (C6)] in care.

FAQ · About this visit

Common questions about this visit

What happened during the July 29, 2025 inspection of LILOS TENDER SENIOR CARE INC II?

This was a complaint inspection of LILOS TENDER SENIOR CARE INC II on July 29, 2025. The inspection found no deficiencies and no citations were issued.

Were any citations issued to LILOS TENDER SENIOR CARE INC II on July 29, 2025?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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