Complaint Investigation Report
On 12/19/2025, Licensing Program Analyst (LPA) L. Alexander interviewed Witness 1 (W1), who stated that there is only one staff member on the night (NOC) shift. W1 reported that when residents call out for assistance, staff are asleep. W1 further stated that Client 1 (C1) complains about individuals entering their room and alleged that there is no staff available during nighttime hours.
On 03/25/2026, LPAs interviewed Clients 1 through 8 (C1–C8). All clients reported that staff are present and available during the day, evening, and night shifts. C1–C8 stated that when assistance is needed, staff respond and address their care needs in a timely manner. No clients expressed concerns regarding insufficient staffing or delays in care.
On 03/25/2026, LPAs interviewed Staff 1 through 3 (S1–S3). All staff stated that coverage is maintained on all shifts, including the night shift. Staff reported that two staff members are scheduled for the NOC shift. Staff 2 (S2) stated that at the start of their shift, they receive a report from NOC staff regarding overnight events, including resident behaviors.
LPAs reviewed staff schedules from December 2025 through March 2026, which reflect sufficient staffing levels across all shifts, including two staff scheduled for the NOC shift.
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED .
No deficiencies were cited during this visit. An exit interview was conducted, and a copy of this report was provided to the Administrator, Michele Sheldon.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction