complaint·February 12, 2026

(Continued from LIC9099) R1’s physician confirmed that the lack of medication could have contributed to R1’s condition and documented this in the resident’s medical file. Records review revealed no documentation of medication refusals, no physician contact logs, and an incomplete Medication Administration Record (MAR). LPA observations confirmed that the facility did not maintain complete and accurate medication records. The complaint also alleged that staff did not seek medical attention for resident. Outside Source 1 (OS1) observed that R1 appeared physically weak, disoriented, and unable to walk. OS1 conducted a medication count and determined that prescribed medications had not been administered. Records review confirmed the absence of documentation indicating that medical attention was sought or that the physician was notified. LPA observations supported that the facility did not respond appropriately to R1’s condition. The Department also received a complaint alleging that R1 was wrongfully evicted from the facility. S1 stated that the decision to discharge R1 was based on her being “disruptive.” OS1 reported being contacted by S1 on May 22, 2025, and was instructed to immediately pick up R1 from the facility. Records review confirmed that no formal eviction notice was issued to the resident, the responsible party, or Community Care Licensing. LPA observations confirmed that the facility did not follow proper eviction procedures. The complaint further alleged that the responsible party did not receive an itemized list of R1’s belongings upon discharge. S1 confirmed that no personal property inventory or itemized list was created for R1. OS1 reported that, despite multiple written requests, no itemized list of belongings or charges was provided. Records review confirmed the absence of documentation related to R1’s personal property. A licensed facility requires licensees to maintain and provide an itemized list of personal property and financial transactions upon discharge. Based on interviews, observations, and records reviewed, a preponderance of evidence supports the allegations. Therefore, the allegations are SUBSTANTIATED. Deficiencies are cited in accordance with California Code of Regulations, Title 22 (refer to the attached LIC 9099-D). A plan of correction was developed in consultation with the Administrator. An exit interview was conducted with Brenda Cardona, Administrator. A copy of this report, along with the Licensee/Appeal Rights (LIC 9058, 03/22), was provided. The signature below confirms receipt of these documents.