Complaint·December 29, 2025

Per LPA's review of medication records, the MAR sheet, it was identified that on 10/9 there were two medications that were not provided to R1 as prescribed; One medication is provided once in the am, the other medication is provided twice a day, in the am and in the pm. In review of medication records, there was no information documented as to why these medications were not provided to R1. The Administrator could not provide a reason why the Mar was blank on 10/9 for these two medications R1 didn't receive. This deficiency will be cited, 87465(a)(4) Incidental Medical and Dental Care - A plan for incidental medical and dental care shall be develo ped by each facility. The licensee shall assist residents with self-administered medications as needed , see LIC9099D. Per review of information obtained from interviews with the Administrator, and other parties, and tour of some facility resident rooms, the facility does have light colored carpet with some stains in different areas that are very visible. Administrator stated the carpet is older and they do clean it, but they will see about replacing the rug because they can see the stains the LPA was seeing/pointing out. LPA obtained some photos. These deficiency will be cited, 87303(a) Maintenance and Operation- The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services, see LIC9099D. Per investigation, conducted interviews, review of facility records, and review of resident records, there was sufficient information obtained to support that the alleged violations occurred. Based on record reviews, and interviews during this investigation, the allegations of "resident's medication was not centrally stored as required, medication was not provided to the resident as prescribed, and resident's room had a stained carpet upon move-in." is substantiated. The preponderance of evidence standard has been met, therefore the allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), is being cited. Exit interview was conducted with Emilita Guzman, Administrator. Appeal Rights and report provided to the Administrator. Facility had a sufficient supply of food, a variety of food items, including fruits and vegetables/greens, for resident meals. There was insufficient information obtained in the investigation to support that the allegations "violation of residents personal rights, responsible party was not notified of resident's fall in a timely manner, and meals provided to the residents' lack nutritious items, like greens, vegetables and/or salad." had occurred. The LPA discussed personal rights of residents in care, incidents/reporting incidents, and food service regulations, with the Administrator during the inspection. Based on record reviews, interviews conducted, and information obtained, there is no evidence to support the violations occurred. The allegations are UNSUBSTANTIATED, meaning that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. No deficiencies cited. Exit interview was conducted with Emilita Guzman, Administrator.