complaint·February 3, 2026

Continued from LIC9099... Review of Admission Agreement and Resident Statements indicated that R1 was being charged additional fees not outlined in the initial Admission Agreement. Review of email titled 30-day Assessment did not detail itemization of charges or detailed explanation of new services provided. Further interview with RP indicated that no subsequent evaluation was shared with them detailing the reasons for this increase in fee and attempts to conduct a care meeting with the previous ED were ignored or did not provide the information requested. Licensee does not ensure that residents' laundry needs are being met – Reporting Party (RP) alleges that residents laundry/bedding is not being washed. Review of Resident Monthly Assignment Reports for August 2025 and September 2025 for resident (R1) indicated that the task “care partner to pull dirty laundry” was marked as XX and UND. Further review of Assignment Reports indicated that task “Staff to wash residents’ laundry…once weekly” was signed as completed. Interview with RDN indicated these markings mean no caregiver was assigned to these tasks and they auto closed. Further interview with RDN indicated that care partners are not tasked with completing laundry as this is a housekeeping task and is not tracked on the digital task list. Interview with staff (S1) indicated that staff were told that they are in charge of laundry, with the previous Executive Director (ED) telling them that “care staff should be doing things like taking out garbage, cleaning the room, and doing the laundry”. Further interview with S1 indicated that failure to do so resulted in disciplinary action. Interview with HWD indicated that care partners assisted with housekeeping and laundry until a new policy was enacted in September 2025, with care partners no longer having access to the housekeeping storage room in Memory Care. Review of R1’s Housekeeping Checklist for December 2025 indicated that the tasks “Strip & make bed” and “Remove dirty linens & replace” were marked with either an X or a slash for the entirety of the month. Interviews with housekeeping staff (S2, S3, and S4) indicated that these marking's meant the tasks were not completed. No resident refusals forms were completed during this time. Interview with RP indicated that no agreement was made for any outside party to complete R1’s laundry and facility was to handle all laundering. Based upon observations, record review, and interviews, there is a preponderance of evidence to prove that the allegations have been SUBSTANTIATED and are valid. Continued LIC9099C... Continued from LIC9099C... Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. See LIC9099D. Appeal rights were provided. Exit interview conducted with Regional Director of Operations, whose signature on form confirms receipt. Continued from LIC9099... Interview with Activity Coordinator (AC) indicated that there was a “slight lull” in activities during the period that the activities assistants were absent, but there was no break in activities and care givers assisted with activities. AC indicated that aside from the daily activities conducted in Memory Care and Assisted Living, there is a facility wide live show approximately twice a month in the Assisted Living bistro for both Assisted Living and Memory Care residents. Further interviews with AC indicated that there are quite a few Memory Care residents who refuse to participate in activities and staff will encourage them to participate but will not force them. LPA observed regular activities being held in Memory Care and Assisted Living over multiple visits, including large group activities in the Memory Care common area led by multiple staff with residents being encouraged to join and participate. LPA also observed various activity areas in Memory Care for resident usage. These activity areas included exercise and sports equipment, sensory activities, music, painting, etc.. Licensee does not ensure that the facility is kept clean – Reporting Party (RP) alleges that resident floors and bathrooms are not cleaned with visible green/black spots. Review of the Housekeeping schedule indicated at least two (2) housekeeping staff on duty per day. Review of resident task list indicated that housekeeping tasks were not assigned to care staff and closed out automatically, however, interview with Regional Director of Nursing (RDN) indicated that care staff do not provide housekeeping services and those tasks are tracked on physical checklists. Review of Housekeeping Checklist indicated that resident (R1) is receiving regular room cleaning which includes bathroom sanitization, dusting, mopping, etc. Review of Housekeeping refusal form indicated the ability for R1 to refuse housekeeping services. Over the course of multiple visits, LPA observed Memory Care to be clean and free of odors. LPA observed the Housekeeper’s to be going room to room cleaning as well as cleaning the hallways and communal areas. LPA conducted spot checks of resident rooms and observed them to be clean. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated. No deficiencies cited. Exit interview conducted with Regional Director of Operation, whose signature on form confirms receipt.