Complaint·September 4, 2025

Interviews and facility record reviews revealed there are no staff currently employed at the facility identified as S1 or S2. Additionally, LPA was unable to obtain further clarification from the complainant to support or verify the details of the allegation. Based on interviews, facility records review, and the facility’s complaint history, the allegation may have happened; however, there is insufficient evidence to determine the validity of the complaint. Therefore, the allegation is deemed Unsubstantiated at this time. Allegation # 2: Staff are answering a resident's phone . It was alleged staff were answering resident’s phone. To investigate the allegation, on 01/29/2025, from 1:00 p.m. to 2:00 p.m., Licensing Program Analysts (LPAs) Gary Tan and Angelica Segovia conducted the initial complaint visit and obtained documents related to the allegation. LPA attempted to contact the complainant multiple times; however, the contact information provided was invalid or incorrect. During today’s visit, from 10:00am to 12:00 p.m., LPA T. Cabiness conducted additional interviews and re-reviewed documentation related to the allegation and a similar complaint concerning Resident #1 (R1). The complainant alleged staff are answering (R1’s) phone. Prior to this visit, LPA Cabiness reviewed the facility’s complaint history and noted that concerns regarding staff behavior had already been addressed under complaint C31-AS-20250102144515 , which remains under investigation. Interviews and facility record reviews revealed there are no staff currently employed at the facility identified as S1 or S2. Additionally, LPA was unable to obtain further clarification from the complainant to support or verify the details of the allegation. Based on interviews, and the facility’s complaint history, the allegation may have happened; however, there is insufficient evidence to determine the validity of the complaint. Therefore, the allegation is deemed Unsubstantiated at this time. Allegation #3: Staff made an unauthorized medical decision for a residen t. To investigate the allegation, on 01/29/2025, from 1:00 p.m. to 2:00 p.m., Licensing Program Analysts (LPAs) Gary Tan and Angelica Segovia conducted the initial complaint visit and obtained documents related to the allegation. LPA attempted to contact the complainant multiple times; however, the contact information provided was invalid or incorrect. During today’s visit, from 10:00am to 12:00 p.m., LPA T. Cabiness conducted additional interviews and re-reviewed documentation related to the allegation and a similar complaint concerning Resident #1 (R1). (Continued on LIC9099C The complainant alleged staff are answering (R1’s) phone. Prior to this visit, LPA Cabiness reviewed the facility’s complaint history and noted that concerns regarding staff behavior had already been addressed under complaint C31-AS-20250102144515 , which remains under investigation. Interviews and facility record reviews revealed there are no staff currently employed at the facility identified as S1 or S2. Additionally, LPA was unable to obtain further clarification from the complainant to support or verify the details of the allegation. Based on interviews, and the facility’s complaint history, the allegation may have happened; however, there is insufficient evidence to determine the validity of the complaint. Therefore, the allegation is deemed Unsubstantiated at this time. Allegation # 4: Staff falsified documents regarding a resident. To investigate the allegation, on 01/29/2025, from 1:00 p.m. to 2:00 p.m., Licensing Program Analysts (LPAs) Gary Tan and Angelica Segovia conducted the initial complaint visit and obtained documents related to the allegation. LPA attempted to contact the complainant multiple times; however, the contact information provided was invalid or incorrect. During today’s visit, from 10:00am to 12:00 p.m., LPA T. Cabiness conducted additional interviews and re-reviewed documentation related to the allegation and a similar complaint concerning Resident #1 (R1). The complainant alleged staff are answering (R1’s) phone. Prior to this visit, LPA Cabiness reviewed the facility’s complaint history and noted that concerns regarding staff behavior had already been addressed under complaint C31-AS-20250102144515 , which remains under investigation. Interviews and facility record reviews revealed there are no staff currently employed at the facility identified as S1 or S2. Additionally, LPA was unable to obtain further clarification from the complainant to support or verify the details of the allegation. Based on interviews, and the facility’s complaint history, the allegation may have happened; however, there is insufficient evidence to determine the validity of the complaint. Therefore, the allegation is deemed Unsubstantiated at this time. Exit interview conducted and copy of report provided to Executive Director.