complaint·May 6, 2025

During interview on 05/06/2025, S6 stated to have never observed staff not providing proper transfer assistance to residents, to have never observed a resident being injured because staff improperly transferred them, and to have not observed a resident requiring two staff to transfer him/her being transferred by only one staff. During visit on 05/06/2025, LPA Marrufo reviewed the resident records of R2-R9 and did not find any documents, including hospital discharge records or incident reports, related to injuries due to staff not providing proper transfer assistance. There were no resident records that matched the name of R1. LPA Marrufo obtained copies of pest control invoices from every month between 02/02/2022 to 08/23/2022. The pest control invoices indicate pest control was done against cockroaches. During interviews on 10/05/2022, R2, R3, and R5 stated to have observed there to be cockroaches at the facility. R4 stated to have not observed there to be cockroaches at the facility. R6 and R7 were not able to respond to LPA Marrufo’s questions. During interviews on 03/07/2025, S2 stated to have observed cockroaches at the facility. S3-S5 stated to have not observed cockroaches at the facility. Based on information from interviews conducted with staff and residents, 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 Administrator Li Li and a copy of this report was provided. Page 3 of 3. On 03/07/2025, LPA Marrufo obtained a copy of the facility Rent Roll from 09/30/2022 and a screenshot of the Resident Record Database System. The Rent Roll did not have R1’s name in the record of residents who were paying rent during the month of 09/2022. The screenshot of the Resident Record Database System indicated that there were no search results when R1’s name was searched. On 03/07/2025, LPA Marrufo obtained a copy of an email thread between facility managers sent on 11/30/2022. The email thread stated staff S1 was Employee of the Month during one of the months of 2022 and was nominated as Employee of the Year for 2022. On 03/07/2025, LPA Marrufo interviewed S2-S5. S2-S5 stated to have not known R1 and to have not observed S1 hit a resident. During visit on 05/06/2025, LPA Marrufo interviewed S6, the facility HR Director. S6 stated that as HR Director, he/she is available to discuss with staff any concerns they may have about other staff. S6 started to have not received any report that S1 hit R1 or any other residents at the facility. On 10/05/2022, LPA Marrufo obtained Inservice Sign In Sheets from the following dates and topics: 03/25/2022, Transferring from Wheelchair to Chair; 06/10/2022, Hoyer/Stand Lift, 07/14/2022, Transition from Hoyer Lift to No Machine (only 1 or 2 Person Assist); 08/08/2022, Stand Up Lift Training; 08/15/2022, Hoyer Lift. During interviews on 10/05/2022, S2-S5 stated to have been injured while staff were assisting them during transferring. S6 and S7 were not able to respond to LPA Marrufo’s questions. During interviews on 03/07/2025, S2-S5 stated to have never observed staff not providing proper transfer assistance to residents, to have never observed a resident being injured because staff improperly transferred them, and to have not observed a resident requiring two staff to transfer him/her being transferred by only one staff. Page 2 of 3.