complaint·February 19, 2026

Continued from 9099... 30 minutes or greater: 130 times; one occurrence of a smoke detector for 32 minutes. 40 minutes or greater: 40 times 50 minutes or greater: 24 times 60 minutes or greater: 20 times 70 minutes or greater: 15 times 80 minutes or greater: 18 times 90 minutes or greater: 12 times 100 minutes or greater: 15 times 150 minutes or greater: 3 times The longest wait times were single occurrences of: • 165 minutes, • 193 minutes, • 225 minutes, • 309 minutes, • 334 minutes, • 390 minutes, • 429 minutes. Of the approximate 1541 times a resident pushed their pendant 1172 of those times their wait was longer than 10 minutes, which is approximately 76% of the time. During investigation, LPA interviewed five [5] residents with wait times longer than 50 minutes. Five [5] out of five [5] residents interviewed confirmed they waited at least 50 minutes before anyone arrived to answer their call for assistance. One resident (R1) reported that a care staff arrived to answer the pendant call but then reset the pendant and immediately walked out, without asking them if they needed assistance or providing any help. Two residents (R2 and R3) reported that, at times, no care staff show up at all. Based on LPA’s interviews and record review, 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, are being cited on the attached 9099D. Exit interview conducted with BOM. Appeal rights and a copy of this report given.