complaint·October 9, 2025

Continued from LIC9099... Further review of Resident Notes indicated three (3) instances on separate dates of identical entries stating reason for change of condition with no current information on resident condition for that check-in. Based upon observations, record review, and interviews, there is a preponderance of evidence to prove that the allegations have been SUBSTANTIATED and are valid. Deficiencies are cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, or repeat violations within a 12-month period, may result in a civil penalty assessment. Appeal rights were provided. See LIC809D. Exit interview conducted with Regional Director, whose signature on form confirms receipt.