Complaint Investigation Report
staff roster with contact telephone numbers, resident’s roster with apartment numbers, device activity report (call button), maintenance log (work orders), housekeeping cleaning checklist were obtained and reviewed.
During the investigation, LPA reviewed an eviction notice issued by the licensee on 03/18/2025. After reviewing eviction notice, the 30-day notice does meet requirements in regulation 87224.
Facility staff did not ensure resident took medications as prescribed
During investigation, LPA reviewed Medication Administration Record (MAR) and observed R1’s medication was administered as prescribed.
Facility staff did not ensure resident's call pendant was working
During investigation, LPA reviewed work orders and toured R1 room and observed call button on the wall near bed and in the restroom was in operating condition. LPA also reviewed the work order report and did not see any reported issues with the call button for room #2 .
Facility staff did not ensure resident's bedroom light was working
During interviews, it was revealed the facility changed the light bulb at the entrance of residents’ room the same day the light bulb went out.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction