Complaint·June 10, 2025

LPA also conducted a tour of the outside of the facility with Maintenance/Housekeeping Supervisor. The facility is located in a high vegetation rural neighborhood where many of the neighboring homes have multiple fruit trees, gardens, and other varieties of vegetation. There was no evidence of rodents and/or rats, or sign of rodent/rat excrement, or rodent/rat destruction in the outside area of the facility. Further interviews conducted revealed the facility contracts with a local vendor for rat and rodent removal, pest control, termite inspection, bird control, and fumigation. The contract with the vendor includes a monthly routine visit for spraying and a more in-depth spraying every four months outside the facility. The last four-month in-depth spraying was conducted in March 2025. Interim Executive Director stated no reports of rats, rodents, insects, etc. have been reported to facility directors and if there were, it would show in the vendors’ reports. LPA reviewed pest control Invoice #501984 dated 5/6/2025 for routine spraying on the same date as invoiced from 10:52 am to 11:47 am. No note of rodents, rats, insects, etc. were noted in the invoice. Further, Interim Executive Director stated, “I have never received a report that there were rats or rodents within our facility. If there was, I would have done something about it immediately!” Based on interviews conducted and observations made, the allegation that the facility has rodents is deemed Unsubstantiated at this time. On the allegation, staff failed to maintain accurate residents' records: Complainant’s concern is residents’ charts are not being regularly updated. During today’s visit, LPA conducted staff interviews and obtained copies pertaining to the allegation. Interviews conducted revealed upon a resident's admission, each resident’s records are compiled as the “admission packet” including the resident’s face sheet, LIC602, POLST form, insurance information and Pre-Appraisal. Interviews conducted revealed each resident’s records are updated on an “as needed" basis including but not limited to medical visits, medical emergencies, and other serious illness/serious injury reports. Interviews conducted revealed Wellness Director is responsible for chart keeping and regularly updates residents’ files. Interviews conducted further revealed a “care plan” is kept for each resident in the resident’s binder. The Care Plan lists the services that are offered and the price value for each service. It is originated with the family just prior to move in and it is maintained and changed based on a resident’s need. Re-appraisals are conducted on an “as needed” basis as well as on a regular basis as a “care conference”. Wellness Director communicates with the residents and their responsibility parties on an “ongoing basis”. Record review of the documents revealed no discrepancies or inaccuracies in residents' records. Therefore, based on interviews conducted and records reviewed, the allegation Staff failed to maintain accurate residents records is deemed Unsubstantiated at this time. Due to technical difficulties, copy of report issued at the time of the visit. At approximately 11:45 am to 1:10 pm, LPA toured the facility with Interim Executive Director, Wellness Coordinator, and Sales & Marketing Manager. At approximately 11:49 am, LPA observed a fly trap/strip with dead flies attached on the strip placed above a warming station of a food service work area. LPA observed the food service area had plates with sandwiches covered with plastic wrap and a cutting board with a cutting knife and crumbs on the cutting board. At approximately 1:50 pm, LPA observed the fly trap/strip had been removed. During the tour of the facility, at approximately 11:56 am, LPA observed Staff Room 3 with mold on the wall, dirt on the carpet, and an electrical light panel lying on the floor. During the tour of the facility at approximately 12:15 pm and 12:25 pm, LPA observed two residents’ rooms to have stained and soiled carpets. At approximately 12:30 pm, LPA observed that there was no kitty litter box in the staff bathroom of the Wellness Office. Interim Executive Director stated at one time the litter box was kept in the bathroom, but upon the recommendation of Allen Flores Consulting in March 2025, it was recommended that the litter box be kept in the staff bathroom of the Wellness Office with no accessibility to residents. As of March 2025, the litter box is kept in the staff bathroom and the bathroom is kept clean on a daily basis and a staff member cares for the facility cat including feeding the cat and keeping the litter box clean. Per Interim Executive Director, the Wellness Office is inaccessible to residents in care. Based on observation and interviews conducted, the allegation that the facility is unsanitary is deemed Substantiated at this time. Pursuant to Title 22, California Code of Regulations, the following deficiencies are cited (refer to LIC 9099-D). Exit interview conducted. Due to technical issues, copy of report and appeal rights issued at the time of the visit via email.