Complaint·January 15, 2026

LPA interviewed the administrator and S1 and neither could provide details pertaining to the activities that the facility has for the residents. During the 10-day complaint visit, LPA did not observe any activities at the facility and LPA observed the TV was broken (The facility was cited on 10/29/2025 and the TV has been replaced). The State Official also reported that during his/her visits, there were no activities at the facility. After the investigation, this allegation is deemed to be substantiated. Based on interviews and record reviews during the investigation, the preponderance of evidence standard has been met. Therefore, this allegations were 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 was discussed with caregiver and the administrator who was on the phone. A copy of the report and the appeal rights were provided. LPA interviewed resident # 2 (R2) who stated that staff are assisting and providing the care that R2 is required. LPA interviewed staff #1 (S1) who stated that they offered R1 to get out of bed but R1 did not want to due to R1's physical condition. After the investigation, this allegation is deemed to be unsubstantiated. Regarding the allegation of- due to lack of supervision, resident went into another resident's room during the night, the reporting party stated that resident #3 (R3) enter R1's room at night, covering R1 with a blanket which resulted R1 being scared and panicking. As part of the investigation, LPA interviewed R1, R2, and S1. According to S1, when the incident happened, R1 and R3 were roommates so R3 did not enter another resident's room and R3 thought R1 was cold so R3 walked over to R1’s bed and covered R1 with a blanket. S1 stated that after the incident, they moved R3 to another room and there were no further incidents. According to R1, S1 was present when it happened and S1 redirected R3 to another room. R1 stated that he/she was scared but it did not happen again after R3 was transferred to another room. According to R2, R3 never entered his/her room and there were always staff members at the facility. After the investigation, this allegation is deemed to be unsubstantiated. Although the above investigations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. Report was discussed with caregiver and the administrator who was on the phone. A copy of the report was provided. LPA interviewed S1 who stated that they offered R1 to take a shower but R1 preferred to have sponge baths in bed, and they provided that several times a week. During the 10-day complaint visit on 10/19/2025, R1 appeared to be cleaned and well-groomed. After the investigation, this allegation is deemed to be unfounded. Regarding the allegation of Reporting Requirement- the reporting party stated that resident #3(R3) went into R1's room and covered R1 with a blanket up to R1's and this incident was not reported to CCL. As part of the investigation, LPA interviewed the administrator and S1. The administrator stated that R1 and R3 were sharing a room and R3 thought R1 was cold so R3 went to R1's bed and covered R1 up to the neck. The administrator stated that they did not report it to CCL because it was not a reportable incident and there was no injuries to both residents. The administrator stated they moved R3 to another room after the incident and there were no further incidents. LPA interviewed S1 who stated that she was present when this happened and R3 was concerned that the roommate (R1) was cold so R3 covered R1 with a blanket and R1 got scared. S1 stated that R3 was moved to another room right away and both residents were fine afterwards. After the investigation, this allegation is deemed to be unfounded. Based on interviews, and record reviews, the department has determined that the allegation was false, could not have happened and/or is without a reasonable basis, therefore the allegation is UNFOUNDED. Report was discussed with caregiver and the administrator who was on the phone. A copy of the report was provided.