complaint·March 24, 2025

LPA Marrufo obtained copies of invoices for items ordered by the facility and delivered to the facility Lifestyle Department. The invoices are dated from July 11, 2023 to December 6, 2023. The invoices include items such as Christmas ornament craft kits, Dementia Activities for Seniors with Memory Loss, large print coloring books, painting canvases, watercolor sets, and playing cards. LPA Marrufo obtained a copy of the Memory Support 1:1 Room Visits Log dated 02/23-25/2024. The log records that on 02/23/2024, staff entered the rooms of three residents and offered them exercise sessions, but two out of the three residents declined. Staff provided newspapers and books to one of the residents who declined. On 02/24/2024, staff entered the rooms of three residents. Two of the residents participated in an exercise program and one of the residents discussed engineering and science with staff. On 02/25/2024, staff entered two resident rooms. One resident participated in an exercise session and the other resident declined the invitation to the exercise session and walked with his/her private duty aid instead. During visit on 02/28/2024, LPA Marrufo toured the facility, including the office where supplies for activities were stored. LPA observed a rolling bookshelf, a shelf with DVD movies, dumbbells, and art supplies. During interview on 02/28/2024, staff S1, facility Lifestyle Director, stated that staff have been bringing memory care residents to activities. S1 stated that staff provided activities such as coloring books, watercolors, and craft projects to the memory care residents. During interview on 02/28/2024, S2, facility Assisted Living Lifestyle Coordinator, stated that memory care residents have been attending activities with assisted living residents while the facility searches for a new Memory Care Activities Coordinator. S2 stated that staff will conduct room visits with memory care residents who are unable to leave their rooms and conduct one-on-one activities with them. During visit on 02/28/2024, LPA Marrufo interviewed 5 other staff. 4 out of the 5 interviewed staff stated that there have been activities at the facility since the prior Memory Care Activities Director left. The same 4 out of 5 interviewed staff stated that staff bring books and craft materials to residents in their rooms if the residents are not able to attend exercise activities. 1 out of 5 interviewed staff stated that there have not been activities at the facility. Page 2 of 4. On 03/24/2025, LPA Marrufo attempted to contact 5 resident family members by telephone. 2 out of the 5 resident family members answered LPA Marrufo’s telephone call. Family Member FM1 stated that there are activities offered to residents at the facility. FM2 stated to have observed television programs offered to residents in the memory care unit. During visit on 02/28/2024, LPA Marrufo toured the facility, including the office where ADM’s dog stayed. LPA Marrufo observed the office to have a cage for the dog and that the dog was leashed. LPA toured did not observe any dog urine odor or foul odors. During interview on 02/28/2024, ADM stated that ADM bathes the dog at home as often as dogs are supposed to be bathed. ADM stated the dog is taken outside to relieve itself on the planter boxes outside the facility. ADM stated the dog has never had an accident inside the facility. During interviews on 02/28/2025, 7 out of 7 interviewed staff stated to have not observed any dog odors at the facility. During interviews on 12/18/2024, LPA Marrufo interviewed two housekeeping staff. Both staff stated to have never observed any dog odors at the facility. LPA Marrufo obtained copies of facility cleaning logs from 12/12/2023 to 02/22/2024. The cleaning logs indicate the administration offices and corridors are cleaned daily. During interviews on 03/24/2025, FM1 and FM2 stated to have never observed any dog odors at the facility. During interview on 03/24/2025, LPA Marrufo interviewed a concierge staff who has worked at the front desk in the Assisted Living portion of the facility. The concierge staff stated to have never observed any dog odors at the facility. Page 3 of 4. Based on information from interviews conducted with staff and resident family members, and records reviewed, although the allegations listed above 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 allegations are unsubstantiated. No Deficiencies were cited under California Code of Regulations Title 22 This report was reviewed with ADM Valerie Alves and a copy of this report was provided. Page 4 of 4. END REPORT