Complaint Investigation Report

Allegation: Staff did not ensure the facility maintained liability insurance

The expired form of Liability Insurance shows that the policy lapsed on 08/04/2025 due to Non-payment. The preponderance of the evidence standard has been met, and therefore the allegation is SUBSTANTIATED.

Allegation: Staff did not safeguard resident personal belongings

LPAs interviewed S1 regarding the above allegation and about training in regards to belongings of residents no longer in the facility. S1 states that R1 passed away on 12/22/2025, and that W1 stated they would arrive later that week on 12/26/2025 to pick up the belongings. S1 stated that a caregiver (S2) was cleaning the room and threw away the belongings that were listed on LIC621. S1 stated that she understands that belongings need to be kept until picked up but S2 did not. LPAs also requested to view training logs for staff in regards to personal belongings of residents and did not see any training for that area. The preponderance of the evidence standard has been met, and therefore the allegation is SUBSTANTIATED.

Deficiencies are 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. A copy of this report, along with Appeal Rights, was provided to the administrator.