Complaint Investigation Report

It was alleged that staff obstructed the facility passageway. During the visit, LPA observed the memory care hallway by the exit door free of obstruction. However, on 10/24/2025, LPA received an incident report from ED verifying that on 10/15/2025 and 10/22/2025, there were chairs blocking the side exit door in memory care to prevent the ball from getting into the hallway. During the visit, interviews with 4 of 4 staff confirmed that the chairs were utilized to block the exit door during games and activities with residents. 4 of 4 staff members also showed LPA where the three chairs would be placed during activities in which LPA observed to be in the hallway in front of the side exit door.

Based on LPA's information obtained during investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, are being cited on the attached LIC9099D.

Exit interview conducted. A copy of this report and appeal rights provided.