Complaint·August 25, 2025

Page 2 of 2. On 6/23/2025, LPA Rai interviewed 1 staff (S1). S1 stated the incident occurred on R1’s first day at the facility 6/5/2025, where R1 was smoking in the front area of the facility and staff asked if R1 needed assistance but R1 was okay and self-propelled the wheelchair with the feet. S1 is not aware of staff not assisting or laughing at the resident. On 6/23/2025, LPA Rai interviewed 1 resident (R1). R1 stated there were no issues with the incident that occurred on 6/5/2025. R1 stated he/she was smoking in the front area of the facility and staff asked if R1 needed assistance and R1 refused assistance. R1 stated no one was laughing at him/her and R1 has no issues with the facility staff. R1 stated the facility staff do protect his/her resident’s rights in the facility. Based on review of R1’s pre-assessment dated 6/4/2025, R1 requires escorting and/or physical assistance to attend meals and/or activities due to using a wheelchair. R1 is generally oriented to person, time and place. Based on review of R1’s addendum to LIC 602A dated 6/2/2025, R1 does not have unsafe wandering, lack of hazard awareness or lack of impulse control and R1 is able to leave the facility unassisted. 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 Executive Director, Slyvia Chu and a copy of the report was provided.