complaint·February 5, 2026

As a result of this investigation, the department found the allegations to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegation was valid because the preponderance of the evidence standard had been met. The following deficiencies were cited on the following LIC 9099-D pursuant to Title 22 Rules and Regulations, Division 6 and Health and Safety Codes. An exit interview was conducted and a copy of this report and appeals rights was provided to the facility at the end of this visit. An interview with 5 residents were conducted. 1 out 5 residents was unable to complete the interview due to language barriers. 1 out 5 residents state that one time they did not find any staff at the facility. 3 out 5 residents state that there is always a staff member on site. Furthermore, a review of the facility’s payroll records and LIC500 shows that there are staff members on site at all hours of the day. Based on the information gathered, there is not sufficient evidence to prove that staff leave residents unattended. Allegation: Staff financially abuses residents It was alleged that the staff financially abuses residents. During the course of this investigation, the department conducted interviews and reviewed facility records. Based on interviews conducted with 4 staff. 4 out 4 staff members deny that they financially abuse residents or have witnessed any other staff members financially abuse the residents. 4 out 4 staff members state that they do take residents out of the facility for outings which the residents are able to pay for themselves but are not required to pay for them or others. An interview with an interview with 5 residents were conducted. 1 out 5 residents was unable to complete the interview due to language barriers. 4 out 5 residents state that the facility staff do not financially abuse them. Based on the information gathered, there is not sufficient evidence to prove that the facility staff financially abuse the residents in care. Allegation: Staff isolates resident It was alleged that the staff isolates residents. During the course of this investigation, the department conducted interviews. Based on interviews conducted with 4 staff. 4 out 4 staff deny that they isolate the residents. 4 out 4 staff report that it is encouraged that residents come out of their rooms to mingle with other residents, however not all residents would like to do that all the time. An interview with 5 residents was conducted. 1 out 5 residents was unable to complete the interview due to language barriers. 4 out 5 residents deny that they have been isolated or have seen any other residents isolated. Based on the information gathered, there is not sufficient evidence to prove that the facility staff isolates residents. Allegation: Staff do not clean facility It was alleged that the staff do not clean facility. During the course of this investigation, LPA Pascua conducted a tour of the facility on 01/13/2026 and 1/26/2026. LPA Pascua toured the living areas, dining areas, restrooms, resident bedrooms, and other areas intended for resident use. During the LPAs visits it was observed to be maintained in a sanitary condition, surfaces were free of visible soil, debris, staining and residue. In addition, LPA Pascua reviewed and observed a cleaning routine schedule for each shift at the facility which indicate evidence of routine cleaning. Based on the information gathered, there is not sufficient evidence to prove that staff do not clean the facility. Based on statements obtained, records review and observations during the investigation process, LPA was unable to corroborate the allegations. The investigation revealed the preponderance of evidence standards have not been met; therefore, the above allegations are found to be UNSUBSTANTIATED . A finding that the complaint allegations are UNSUBSTANTIATED means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation(s)occurred. An exit interview was conducted and a copy of this report was provided to the facility at the end of this visit.