Complaint Investigation Report

The investigation revealed the following:

Regarding allegation: Licensee does not ensure that staff are adequately trained. It is alleged staff do not receive initial training or yearly training. Interviews conducted with residents revealed 6 out of 6 residents were unable to provide an answer due to cognitive skills. Interviews with staff revealed training is provided prior starting to work at the facility. Documents reviewed revealed; administrator provided copies of training material via pictures. However, there were no training logs that record the date and time of yearly or initial training provided to staff #2(S2).

Based on LPAs observations and interviews which were conducted record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Regarding allegation: Licensee does not ensure that there is a designated substitute at the facility when the administrator is not at the facility . It is alleged administrator left on vacation in December 2024 and did not leave a responsible designee. Interviews conducted with residents revealed 6 out of 6 residents were unable to answer due to cognitive skills. Interviews conducted with staff revealed there is a designated person when the administrator is out. Per administrator, administrator took a vacation in December and left staff #3(S3) as the designee of responsibility and they should have submitted the Designation of Responsibility LIC 308 to the department. LPA reviewed documents submitted to the department between December 2024 and May 2025, there was no record of appointing S3 or other staff as the designee for responsibility. Administrator did not provide a copy of document submitted to the department with transmittal sheet.

Based on LPAs observations and interviews which were conducted record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

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

Exit interview was conducted with Lakeisha Ogesby and a copy of this report, LIC 9099D, and appeal rights were provided.