Senior Care Records.

Complaint Investigation Report

Alyza Home, Montclair12/26/2025Licence 366413179

Census4
Date signed12/26/2025 01:59:28 PM
The inspector’s account

medication is administered . Staff will document in the MAR and contact the physician when needed. The facility's Admission Agreement does not state that staff will notify representatives when medication is administered. Based on interviews and record review, this allegation is UNSUBSTANTIATED.

In regards to the allegation of staff keep client in isolation:

LPA conducted an interview with the relative of C1 and they stated that all of the allegations are false and C1 was happy at the facility. Staff denied the allegation. LPA observed the three (3) clients in care moving around the residence in a carefree manner. Based on interviews and observation, this allegation is UNSUBSTANTIATED.

During the month of 04/2024, the facility submitted the required incident reports detailing a medication error and other incidents involving a relative of C1.

UNSUBSTANTIATED is defined as the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation(s) occurred.

An exit interview was conducted where this report LIC9099 and LIC9099C were discussed and copies were provided to staff, Tita "Caasi" Florentino.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction