complaint·June 20, 2025

7 residents were interviewed. 6 out of 7 residents are independent and are able to care for their own activities of daily living which they denied being left soiled for an extended period of time. 1 out of the 7 residents (R1) states he/she wakes up soiled every morning. R1 stated that there is someone who comes to assist in him/her with changing every morning. Based on interview with the licensee, it was stated that R1 has a private caregiving agency that comes to assist R1 during morning and nighttime care. R1’s private caregivers assist’s R1 with changing, incontinent care, bathing, grooming, and transferring in and out of bed. It was stated that if R1 soiled him/herself through the night, R1 will be changed in the morning when R1’s private caregiver starts around 7:00am. The licensee stated that the facility has an awake night staff, however, the staff does not assist with incontinent care throughout the night because they are unable to lift R1. It was stated that R1’s responsible parties were made aware of this which is the reason they hired a private caregiver from an agency. It was stated that R1 does not have a private caregiver from the hours of 8:00pm – 7:00am. The Department has investigated the above allegation. Based on interview and record review the preponderance of evidence standard has been met, therefore, the above allegation is substantiated. A deficiency was cited per California Code of Regulations, Title 22. See LIC9099-D. This report was reviewed with Licensees James and Carolyn Heinan and a copy of the report and appeal rights was provided. Page 2 of 2. Based on staff interview, there were no call outs the night of 02/27/2025 – 02/28/2025. It was stated that if the facility staff do call out, they make sure another staff covers the shift. The review of records did not indicate that there was a call out the night of 02/27/2025. The Licensees/owners of the facility, also covers the PM shifts but do not keep record of their timecard because they work 24/7. Staff denied there ever being a time where there were no staff at the facility. Staff stated that R1 has a private caregiving agency who provides R1 morning care and nighttime activities of daily living care to include getting to and from bed, dressing, bathing, and incontinence care. The private caregiving agency starts their shift at 7:00am for morning care and returns from 4:30 – 5:00pm for nighttime care. 7 residents were interviewed. 7 out of 7 residents stated there is always staff available if needed. 7 out of 7 residents did not have any comments or concerns regarding the staffing ratio at the facility. The Department has investigated the above allegations. Based on interview, record review and observation the above allegation is unfounded, meaning the allegation is false, could not have happened and/or is without a reasonable basis. No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with Licensees James and Carolyn Heinan and a copy of the report was provided. Page 2 of 2.