complaint·November 14, 2025

Continued on LIC 9099 Regarding the allegation that "Staff did not ensure that resident's grooming needs were met", the reporting party (RP) expressed concern that residents are not being kept groomed. During today’s visit, LPA inspected all residents’ rooms and did not detect any foul odors. An interview with a visiting nurse revealed that they have not observed the resident under their care to be unkempt or inadequately groomed. In addition, LPA interviewed four (4) out of five (5) residents and observed their nails, hair, and clothing. LPA did not observe any residents to be unkempt. One (1) resident stated that staff occasionally forget to shave them; however, when they request assistance with shaving, staff complete the task without issue. Based on the above information gathered although the allegations may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegations “Staff did not ensure that resident's grooming needs were met” is deemed Unsubstantiated at this time. Exit interview conducted and copy of report provided. Continued from LIC 9099 Regarding the allegation that “Staff does not treat resident with dignity or respect”, the reporting party expressed concern that Staff #1 (S1) yelled at residents in care and handled them in a rough manner. Staff interviewed denied these allegations and stated that they treat all residents with respect. However, interviews with residents indicated that on some occasions S1 may have handled residents roughly while providing incontinence care or changing them. Residents also reported witnessing staff raise their voices when residents were “not being cooperative”. Additionally, R1 informed LPA that staff turn off their television at 8:00 P.M. every night and take the remote control until the following morning. R1 further stated that when the television is turned off and they are unable to sleep, they would prefer to listen to music, but staff keep their radios away from them. According to R1, staff do this, so neither the radio nor the television disturb other residents. LPA observed R1’s room and observed their radio on the floor face down and out of R1’s reach. The administrator stated that R1’s family authorized staff to keep the television remote controls secured because R1 will otherwise remain awake throughout the night Per administrator, when resident doesn't rest it results in health issues the following day. During today’s visit, LPA observed a resident requesting assistance from a staff member. The staff member responded in an unfriendly manner, stating “I am busy”, and walked away without providing assistance. LPA explained to the administrator the importance of using alternative approaches when a staff member is occupied, to ensure residents are addressed respectfully and their needs are acknowledged. LPA requested the most recent in-service training records regarding residents’ personal rights. The administrator provided documentation of the training, however, during interviews, staff stated that they had not received this training. Based on the information gathered during the investigation, the department has sufficient evidence to confirm this allegation occurred. Therefore, the allegation of “ “Staff does not treat resident with dignity or respect”, has been SUBSTANTIATED at this time. Pursuant to Title 22, California Code of Regulations and/or CA Health and Safety Code, the following deficiencies were cited (refer to LIC 809-D.) Administrator was informed that failure to correct the deficiencies may result in civil penalties. Exit interview conducted, appeal rights discussed, and a copy of this report and appeal rights were provided.