complaint·October 30, 2025

Based on a record review, the above allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. As a result of this investigation, no deficiencies were cited. The facility was in compliance with California Code of Regulations (CCR), Title 22, Division 6. An exit interview was conducted and copy of this report was provided to the Operations Specialist. Allegation: Licensee does not provide sufficient staffing resulting in residents being left in soiled clothing for extended periods of time LPA Lindstrom conducted staff interviews. Three staff (S1, S2, and S4) stated that there were no issues with providing incontinence care. LPA Lindstrom conducted three resident interviews. R1 stated that they did not experience inadequate incontinence care due to insufficient staffing or for any reason. R2 stated that they required a two-person assist, and that sometimes when a staff member calls out on the NOC shift, there is a delayed response to their call button. R2 is on a diuretic and sometimes urinates immediately after pressing the call button for assistance to go to the toilet because of the medication. LPA Lindstrom reviewed the call button response log and determined that over a two-day period (July 1- 2, 2025), staff responded to fifteen of R2’s twenty call buttons in five minutes or less, and nineteen of R2’s twenty call buttons in ten minutes or less. R3 stated that staff responded to their call buttons in a timely manner and provided adequate incontinence care. R3 stated that care staff do a great job. Based on interviews and record review, the above allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur. As a result of this investigation, no deficiencies were cited. The facility was in compliance with California Code of Regulations (CCR), Title 22, Division 6. An exit interview was conducted and copy of this report was provided to the Operations Specialist.