complaint·June 11, 2025

Continued from LIC9099... A related complaint about Licensee yelling at the residents was previously substantiated see complaint # 21-AS-20241125153637. Although, LPA was unable to receive confirmation from Licensee if this communication approach keeps happening or not; Licensee suggests that their accent when they speak Tagalog with S2 in front of the clients could be the cause of their fear. The preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), is cited on the attached LIC 9099D. Appeal Rights Given. The Department will review information obtained to determine if any further action is needed. Regarding allegation of staff do not allow residents to have visitors. The Reporting Party stated that the Licensee would not allow them to go to the facility to meet with C1 there, after client has asked them and they said no. Based on records review, the facility provided LPA with house rules including visitation hours between 8am to 6pm daily. However, Licensee provided LPA with a written addendum to house rules issued and signed on 5/5/25 by C1 only, where the notice instructs them that visitor, specifically individual (I1) as follow: “I1 needs to call Licensee or S2 ahead of time. Have I1 not to hang out at/or front door in front of the house. Licensee or S2 will ask them to leave”. Based on interviews with Licensee, I1 used to call the facility phone number when they are at the front door during non-visiting hours (10:30pm-11pm) and hangs up, but C1 at times refuses to see I1, but when I1 shows at the door, they will leave together, so Licensee is taking this approach to protect C1 from I1, because according to Licensee C1 doesn’t know how to set boundaries with I1. Although, C1 expressed to LPA that they have not asked the Licensee for it. The preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), is cited on the attached LIC 9099D. Appeal Rights Given. The Department will review information obtained to determine if any further action is needed. Continued from LIC9099A... Based on LPA’s interviews with clients in care and observations, LPA has determined and confirmed that although the facility appeared to be clean and in a sanitary condition on recent LPA inspections conducted on 04/29/25 and 05/13/25, LPA is unable to determine if an area of the facility was unclean or unsanitary condition at a prior date. A finding that the complaint allegation staff do not ensure the facility is clean and sanitary condition is unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Another allegation was received regarding staff do not ensure resident has sufficient hygiene products. According to the reporting party, client (C1) has asked the Licensee for more shampoo, and they yelled at them about that. On 5/13/25, LPA conducted 10-day visit to the facility, toured the facility inside and outside with Licensee and it was observed in the facility storage two single boxes of toothpaste, 15 soap bars, one box of Q-tips, three bottles of shampoo, three toothbrushes, two bottles of antibacterial soap (8 ounces) and cleansers available, which are in compliance with agreed basic hygiene items indicated in client’s admissions agreements. Based on confidential interviews with clients (C1, C2 & C3) it was clarified that Licensee do provides hygiene items to them, but not in a pleasant manner when they request such basic items. A finding that the complaint allegation occurs of staff do not ensure resident has sufficient hygiene products is unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.