complaint·January 29, 2026

Continued from LIC9099-A page... LPA interviewed the RP, who reported a visible unknown black substance around the edges of a water bottle. LPA reviewed the evidence and confirmed the presence of the unknown substance. The RP stated that they were confident the bottle had not been properly sanitized by staff. Based on the evidence provided by the RP and interviews conducted, the preponderance of evidence supports that the facility failed to ensure that R1’s drinking container was clean and sanitary. Based on interviews and evidence reviewed, this allegation is Substantiated . A substantiated finding means the allegation is valid because the preponderance of the evidence standard has been met. Deficiencies are cited from the California Code of Regulations (CCRs). Failure to correct the cited deficiencies by the Plan of Correction (POC) due date may result in civil penalties. Exit interview conducted. A copy of the report, LIC 9099D (Deficiency Page), Plan of Correction, and Appeal Rights were discussed and provided to the Administrator. Signature on form confirms receipt of documents. Continued from LIC9099 page... LPA reviewed the facility menu for the date in question and found no food items listed that contained cinnamon. LPA also reviewed the facility’s diet and allergy boards, which documented R1’s allergy information. Interviews with facility staff did not confirm that cinnamon-containing foods were prepared or served to R1. During a follow-up interview, the RP stated they did not have evidence to support the allegation and acknowledged R1 was assuming. The RP further stated that R1 has dementia and may not recall events clearly. Based on interviews and record review, there was insufficient evidence to support that the facility failed to follow R1’s special diet. Therefore, this allegation is UNSUBSTANTIATED . An unsubstantiated finding means there is not enough evidence to prove or disprove the allegation. Exit interview conducted. Copy of report discussed and provided to Executive Director. Signature on form confirms receipt of documents.