Complaint·July 3, 2025

Page 2 of 3. Facility staff are not answering resident’s call button. On 5/2/2025, the Department interviewed 1 staff (S1). S1 stated the call button system alerts the facility staff via pager every 5 minutes until the alert is not cleared. S1 stated the residents receiving incontinence care require facility staff to change incontinence products are often as necessary. S1 stated the facility staff will document when they have provided incontinence assistance to resident. On 7/3/2025, LPA Rai interviewed 4 staff (S1-S4). Four out of four staff stated they do not have call buttons for residents that require incontinent care. Four out of four staff stated they have not seen or heard staff not answering resident’s call button. On 7/3/2025, LPA Rai interviewed 5 residents (R1-R5). Five out of five residents refused to be interviewed during the visit. Based on review of call button report for March 2025 and April 2025, facility staff are responding to resident’s call buttons and there hasn’t been one entry where the staff did not answer to a resident’s call button request. Facility staff are not providing incontinence care at night to residents. On 5/2/2025, the Department interviewed 1 staff. S1 stated the residents receiving incontinence care require facility staff to change incontinence products are often as necessary. S1 stated the facility staff will document when they have provided incontinence assistance to resident. On 7/3/2025, LPA Rai interviewed 4 staff (S1-S4). Four out of four staff stated they have not seen or heard facility staff not provide incontinence care at night. Three out of four staff stated they have seen some residents that require attention in the morning with incontinence care, but that does not meet the resident has not been provided with incontinence care at night. Page 3 of 3. On 7/3/2025, LPA Rai interviewed 5 residents (R1-R5). Five out of five residents refused to be interviewed during the visit. Based on review of 5 random residents (R1-R5) who require incontinent care, 5 out of 5 residents received incontinent care at night in April 2025. The Department has completed the investigation of the above allegations. Based on interviews conducted and record reviews, the department has found that the above allegations were UNFOUNDED, meaning that the allegations were false, could not have happened and/or are without a reasonable basis. No deficiencies cited from California Code of Regulations, Title 22. Exit interview conducted with Business Office Director, Melissa Lummis and a copy of the report was provided.