Complaint Investigation Report

Allegation: Facility does not have a call system for residents to seek assistance from staff

On 05/07/2025 LPAs interviewed Residents (R) R2, R3, R4 and R5 all stated that the call system does not work and that they have to find someone for assistance. LPAs interviewed Staff (S) S1 and S2 that stated they have a call system with an pendant to where a resident wears around their neck, presses the button and the button sends an alert to a voice system that calls the room number. S1 stated that the caregiver will go to the call system and re-set the system for that particular resident. LPA's toured the facility and observed that there were not any functioning call system and that only a few residents had the call pendant. S2 stated that only a few residents have a call pendant if they feel that they can press and use the pendant.

Allegation: Staff did not ensure resident was provided a chair

On 05/07/2025 LPAs toured the facility and observed that there were one (1) to zero (0) chair in each shared resident bedroom. S1 and S2 observed that there were not any chairs and started bringing chairs to the rooms.

Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D.

Exit interview conducted. Appeal Rights and a copy of this report provided.