Complaint·December 17, 2025

On December 17, 2025, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced complaint visit to deliver the findings for the above allegation. LPA met with Facility Manager, Lourdes Mauricio and explained the purpose of the visit. Regarding the allegation, staff are falsifying documents, according to the reporting party, on October 20, 2025, staff used Staff 1's (S1's) initials to sign the Medication Administration Record (MAR) even though S1 was not working that day. According to the reporting party, he/she stated that facility staff are not giving the medication to the residents. During the investigation, LPA reviewed facility's MAR, interviewed staff, and reviewed staff schedule. Staff schedule reviewed showed that S1 was not working on 10/20/25, however based on facility's MAR reviewed, S1's initials were observed on the MAR on 10/20/25 indicating that S1 provided medication to Resident 1 (R1). According to staff interviewed, they were unsure why R1's MAR had S1's initials on 10/20/25. Based on interviews and record reviews during the investigation, the preponderance of evidence standard has been met. Therefore, this allegation is determined to be substantiated. Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC9099-D. Failure to correct the deficiencies may result in civil penalties. Report is reviewed with Facility Manager, Lourdes Mauricio and a copy is provided with appeal rights.