Complaint·January 8, 2026

The Department attempted to reach out to the Reporting Party (RP) to obtain additional information. The RP did not respond to the Department’s request for information. On 8/26/2025 the Department reviewed the facility death reports for the months of July and August 2025, with causes of death listed as degenerative disease of nervous system, senile degeneration of brain, cerebrovascular disease. No questionable deaths were noted during review. On 1/8/2025 the Department interviewed Administrator (ADM) Jasmine Latu. ADM states there have not been any questionable deaths for residents at the facility at any time. Facility staff did not provide care and supervision to residents resulting in injuries It was alleged that the facility did not provide care and supervision to residents resulting in injuries. The Department attempted to reach out to the Reporting Party (RP) to obtain additional information. The RP did not respond to the Department’s request for information. On 9/25/2025 the Department interviewed 7 Residents (R1-R7). 6 Out of 7 Residents stated he/she does not have any concerns about the care he/she is receiving. R3 did not respond to questions due to neurocognitive disorder. On 9/25/2025 the Department interviewed 3 Staff (S1-S3). 3 Out of 3 staff state he/she provides care and supervision to residents in care. On 9/25/2025 the Department interviewed 1 Witness (W1). W1 states he/she has no concerns about the care his/her loved one is receiving at the facility. On 8/26/2025 the Department reviewed the facility incident reports for the months of July and August 2025, with no reports that staff did not provide care and supervision to resident resulting in injuries. Page 2 of 6 F acility staff is not following infection control plan as required. It was alleged that the facility staff is not following infection control plan as required. The Department attempted to reach out to the Reporting Party (RP) to obtain additional information. The RP did not respond to the Department’s request for information. On 9/25/2025 the Department interviewed 7 Residents (R1-R7). 5 Out of 7 Residents stated staff wear gloves and masks. R1 states he/she did not know if staff wore gloves and masks. R3 did not respond to questions due to neurocognitive disorder. On 9/25/2025 the Department interviewed 3 Staff (S1-S3). 3 Out of 3 staff state he/she wears personal protective equipment (gloves, masks, gowns) and are following infection protocol. On 9/25/2025 the Department interviewed 1 Witness (W1). W1 states he/she has observed facility staff wearing gloves and masks. LPA Tarin reviewed the facility viral outbreak policy dated May 2022, which states in the event of a viral outbreak, the facility shall follow the Department of Health’s procedures. The policy also states during virus seaso ns and during a viral outbreak, staff will be wearing PPE which includes a mask, gown, shoe covers and gloves. Facility staff did not ensure that residents’ needs are met while in care It was alleged that the facility staff did not ensure that residents’ needs are met while in care. The Department attempted to reach out to the Reporting Party (RP) to obtain additional information. The RP did not respond to the Department’s request for information. On 9/25/2025 the Department interviewed 7 Residents (R1-R7). 6 Out of 7 Residents stated he/she does not have any concerns about the care he/she is receiving. R3 did not respond to questions due to neurocognitive disorder. Page 3 of 6 On 9/25/2025 the Department interviewed 3 Staff (S1-S3). 3 Out of 3 staff state he/she provides care to residents and assists with toileting, bathing and additional activities of daily living (ADLs). On 9/25/2025 the Department interviewed 1 Witness (W1). W1 states he/she has no concerns about the care his/her loved one is receiving at the facility. Facility staff did not maintain comfortable temperature for residents in care It was alleged that the facility staff did not maintain a comfortable temperature for residents in care. The Department attempted to reach out to the Reporting Party (RP) to obtain additional information. The RP did not respond to the Department’s request for information. On 9/25/2025 the Department interviewed 7 Residents (R1-R7). 6 Out of 7 Residents stated he/she did not have any concerns with the facility temperature. R3 did not respond to questions due to neurocognitive disorder. On 9/25/2025 the Department interviewed 3 Staff (S1-S3). 3 Out of 3 staff states the facility temperature varies depending on residents’ preferences. S1 states the facility temperature is set to 70 degrees, and residents can adjust the temperature in his/her own room. On 9/25/2025 the Department interviewed 1 Witness (W1). W1 states he/she has no concerns about the care his/her loved one is receiving at the facility. On 9/25/2025 the Department toured 22 random resident rooms and observed the thermostat in each room to be at 70 F. Review of the facility Temperature Policy dated 1/1/2025 room temperatures shall be always maintained between 68 F and 85 F, individual residents’ preference shall be considered, residents may request adjustments to their room temperatures as well. The facility will monitor room temperatures using calibrated thermometers. Page 4 of 6 Facility staff is not reporting incidents in a timely manner It was alleged that the facility staff is not reporting incidents in a timely manner. The Department attempted to reach out to the Reporting Party (RP) to obtain additional information. The RP did not respond to the Department’s request for information. On 8/26/2025 the Department reviewed the facility incident reports for the months of July and August 2025, and observed the facility is reporting incident reports per Title 22 regulation. Review of the facility’s “Reportable Events” Policy dated 1/2/2025 lists incidents and reporting time frames for incidents that are immediate (abuse, fire, elopement, etc) and reportable within 24 hours (any unusual incident report made to CCL), investigations. Facility staff did not prevent resident from sexually harassing other residents while in care. It was alleged that the facility staff did not prevent resident from sexually harassing other residents while in care. The Department attempted to reach out to the Reporting Party (RP) to obtain additional information. The RP did not respond to the Department’s request for information. On 9/25/2025 the Department interviewed 7 Residents (R1-R7). 6 Out of 7 Residents stated he/she does not have any concerns about the care he/she is receiving. R3 did not respond to questions due to neurocognitive disorder. On 9/25/2025 the Department interviewed 3 Staff (S1-S3). 3 Out of 3 staff state he/she was not aware of any incident of residents sexually harassing other residents. On 9/25/2025 the Department interviewed 1 Witness (W1). W1 states he/she is not aware of any residents or staff sexually harassing residents. On 8/26/2025 the Department reviewed the facility incident reports for the months of July and August 2025, with no reports of any residents sexually harassing other residents. Page 5 of 6 This agency has investigated the complaint. We have found that the complaint was UNFOUNDED , meaning that the allegations were false, could not have happened and/or is without a reasonable basis. An exit interview was conducted, and a copy of this report was provided. PAGE 6 of 6 END OF REPORT