Complaint Investigation Report

clients rooms and found that the trash was not emptied, restroom has not been cleaned, and their linen was not changed, as well as resident #1 was in a soiled undergarment. Pictures were taken. LPA Wesley interviewed 2 out of 3 direct support staff and they indicated that they are short staff and are in need of help. and 1 out of 3 answered "I'm okay." There was some random people visiting their loved ones and they indicated that they come and clean the rooms, sweep and take their trash away. LPA Wesley interviewed 15 residents and they said there rooms are supposed to be cleaned once a week, linen changed once a week or as needed, and trash is to be emptied daily. There were 12 out of 15 residents who said there rooms are not cleaned/linen changed weekly or as needed, nor are their trash cans emptied daily. There were 3 out of 15 residents didn't want to comment. LPA Wesley and Administrator Sievert observed the rooms were not clean and sanitary. On 04/03/25, LPA Wesley was at the facility from 11:20am-4:30pm. Pictures were taken.

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

Appeal rights were given. A copy of the LIC 9099/LIC 9099C/LIC 9099D was given to the administrator during the exit interview.