complaint·November 3, 2025

It was alleged (ADLs) are not being completed for all residents, as resident R1 is requiring a great amount of care based on R1s time of a resident with a contagious medical confinement. . During staff interviews its was reported the residents’ care needs were compromised, a bed bath instead of a full shower, not spending the time necessary to get to the residents in a timely manner. Staff reported when we go to lunch the other care staff can’t get to all of the call buttons and the medication technician is passing out the meds. Staff reported the residents have complained, some understand that we are busy. During the resident interviews R2 stated it takes about five minutes and then they say the will be right back and that is fifteen more minutes. The resident reported, I don’t like being left on the toilet for a half hour. The resident stated it takes forever, sometimes a half hour when I need assistance to go to the bathroom or get off the pot. Based on investigation observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. California Code of Reulations, (Title 22), is cited on the attached LIC 9099D.