complaint·December 17, 2025

Insufficient staff to meet resident needs. During the course of the investigation, LPA conducted interviews and obtained documentation pertinent to the investigation. During the investigation process, most of the people interviewed reported there has been a history of about once a month when there is only one medication technician to cover assisted living and memory care . It was reported on occasion there is one person to care for all the residents of memory care. It was reported that when a resident falls, the medication technician is called to assist, which is difficult when covering both floors, five medication carts with all of the residents’ medications. It was determined there has been lack of staffing at times. Based on (title 22) When regular staff members are absent, there shall be coverage by personnel with qualifications adequate to perform the assigned tasks. Based on investigation observations, record review(s) and interviews which were conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated . California Code of Regulations, (Title 22), is cited on the attached LIC 9099D. Appeal rights were explained and provided to the facility representative listed above and exit interview conducted. If any of the cited deficiencies are not corrected by the noted due date, civil penalties may be assessed.