complaint·August 26, 2025

Regarding the allegations: 1.) Staff do not ensure the facility is kept clean. 2.) Staff do not have access to cleaning supplies. It was alleged that not all staff members have access to cleaning supplies which has led to the facility not being maintained clean and sanitary and in good repair at all times. Interview with the ED revealed that medication technicians staff (med techs) have keys to the two (2) main cleaning supply rooms. There are a total of three (3) cleaning storage rooms which have chemicals and other cleaning supplies such as cloths, and mops. One (1) out of the three (3) cleaning rooms has a keypad and the ED explained that all care staff know the code. The LPA had a conversation with the ED regarding cleaning supplies and the importance of having sufficient cleaning supplies to all staff. The ED explained that cleaning and housekeeping supplies are ordered semi-monthly. During the physical plant tour the LPA observed the following: At 10:37 a.m., stained/ uncleaned floors in the memory care (MC) dining area. At 10:38 a.m., two (2) open wires were observed on the MC courtyard door. At 10:39 a.m., trash such as empty cups were observed throughout the MC courtyard. Two (2) out of the eleven (11) resident restrooms inspected were observed in an unsanitary condition as there were stains/ discoloration around the toilet bowls waterline. Interviews with staff and the ED revealed that there currently is only one (1) housekeeper, as the other housekeeper is currently not working. The ED explained that there is another staff member who covers housekeeping duties when the full-time housekeeper is off on Fridays and Saturdays. The ED explained that the second housekeeper should be returning to work within the next month. Based on interviews and observations, the preponderance of evidence standard has been met, therefore the above allegations are deemed Substantiated at this time. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, the following deficiency was observed and cited during the visit (See 9099-D). Exit interview conducted. A copy of the report and appeal rights were provided. Regarding the allegation: 3.) Staff did not ensure the toilets were not in disrepair. It was alleged that when residents have maintenance issues such as “broken toilets”, that it is not fixed in a timely manner. Interviews with residents revealed that if they have any issues, they go to the front desk and ask for help. Seven (7) out of seven (7) residents interviewed did not reveal any concerns regarding staff response time to maintenance request or issues. The interview with the ED revealed that the facility currently does not have a maintenance director or a regular maintenance staff and that the facility is outsourcing their maintenance work and requests with outside vendors. The ED explained that he is in the process of hiring a maintenance director. The ED provided the LPA a copy of completed maintenance work orders. During the time of the visit, the LPA along with the ED followed up on completed maintenance request and ensured items were fixed, including clogged toilets and sinks. Although the facility does not have permanent maintenance staff, the ED ensures that maintenance requests are completed by outsourcing maintenance work. The information obtained during the investigation did not include evidence sufficient to corroborate the allegation. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed Unsubstantiated at this time. Exit interview conducted. A copy of the report was provided.