Complaint·July 29, 2025

During staff interviews, it was reported that the electricity and call system went out 7-16-25 at 5:30 am. Staff stated, I made sure all of the residents were checked on every hour. The Administrator reported the most critical residents in assisted living had their doors propped open so staff could hear/attend to them. The administrator reported most of the residents had cell phones and were told to call the front desk when needing staff. The administrator stated the staff were required to check in on each resident at least every forty-five minutes. The administrator reported that the call system is set up to forward the calls to the memory care staff when the front desk staff go home. Staff reported the generator was working and the electricity came back on 7-16-25 at about 10:00am but the call system did not. Staff reported the downed call system to the company in charge. Staff reported by 7-18-25 the company said the system files were corrupt and said we had to get a new system. Staff reported on searching for a new system. Staff reported on 7-21-25 the old system began working again. LPA Benson and staff observed the call system in the office area in working order. Staff stated we are trying to verify where the outlets are that are connected to the generator. Staff stated I want to make sure the call system is connected to the generator. LPA Benson went to room 105 with staff to test the call system. Staff pushed the residents call button at 2:29 pm and staff arrived at 2:37 pm. LPA Benson observed the call system as working. During file review it was discovered that the assisted living area has four care staff during the day and two care staff during the night. File review revealed that memory care has two care staff during the day and two care staff during the night. Record review revealed that the facility has two care staff in momory care and 1 care staff in assisted living for the NOC shift. 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.