Complaint Investigation Report

Allegation: Staff left residents unattended - Substantiated

Based on record reviews and interviews Staff 1(S1) was on duty during 12/3/25 from 5pm to 10pm. However, at around 9:30pm S1 left the facility and confirmed by Staff 2 (S2) S1 was outside the facility. Staff 3 (S3) confirmed S3 arrived at the facility either at 10pm or around 10pm. LPAs interviewed Resident 1 (R1), Resident 2 (R2), Resident 3 (R3), Resident 4 (R4), and attempted to interview Resident 5 (R5) at the facility. R1, R2, R3, and R4 stated there are times that the facility has no staff available. Therefore, the above allegation is substantiated due to staff left residents unattended.

The preponderance of the evidence standard has been met, and the allegation is SUBSTANTIATED.

Deficiency is cited under the California Code of Regulations listed on LIC 9099-D. Failure to submit proof of correction (POC) by plan of correction and/or any repeat deficiencies within a 12-month period may result in civil penalties.

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