complaint·March 12, 2026

Staff forced a resident in care to stay in a room: Staff did not ensure that resident was provided an adequate amount of toiletries: Staff made an inappropriate comment towards a resident in care: On 02/20/2026, LPA interviewed staff S1. S1 stated resident R1 was not forced to stay in his/her room. S1 stated R1 was provided necessary and enough toilet paper. S1 stated he/she did not hear Administrator making any comment on R1. S1 stated R1 was provided a commode in his/her room because R1 played with toilet paper with water for long time when R1 used restroom, and caused toilet pipe clogged. S1 stated R1 used restroom for showering and brushing teeth. S1 stated R1 can walk in the facility by himself/herself. LPA interviewed Administrator (ADM) Tingxiu Li. ADM denied all the allegations. ADM stated the facility has the approval from R1's POA to place a commode in R1's room for R1's toileting. ADM stated R1 was provided enough toilet paper for his/her needs. ADM stated R1 played water and toilet paper in the restroom and caused the facility pipe clogged. ADM stated R1 has severe mental disorders. ADM stated he/she did not make any comment on R1. LPA interviewed R1's Power of Attorney (POA). POA stated R1 had lived with him/her before for 25 years. POA stated R1 has severe mental disorders. POA stated R1 is unable to describe well on what he/she wants to express. POA stated R1 had some behaviors in the facility and caused serious problem to the facility. POA stated he/she agrees the facility to put a commode in R1's room for R1's toileting. POA stated all the allegations are not true. POA stated he/she took R1 to psychiatry doctor and to transfer R1 to a bigger facility which he/she thinks is better for R1. POA stated the facility did not have any physical abuse or mental abuse to R1. POA stated the facility does not have any problem. Based on review of R1's appraisal/needs and service plan dated 11/3/2025 and 11/04/2025, R1 has severe mental illness, severe emotional problems, behavior of attention seeking, and has been in institutionalized care since the age of 4. Continue on LIC9099-C. Page 2 of 3. The Department has investigated the above allegations. Based on the investigation, observation, records reviewed, and interviews conducted, the Department found that the above allegations are UNFOUNDED , meaning that the allegation is false, could not have happened and/or is without a reasonable basis. No citations noted at today’s compliant investigation visit. Exit interview conducted with S1. This report was provided to review and for signature. A copy of this report was provided to S1. Page 3 of 3.