Complaint Investigation Report

R1 resides in the Assisted Living portion of the facility. R1 was alert and oriented when interviewed and ambulating well without assistance. R1 explained they were independent with their activities of daily living but required standby assistance with showers and medication management. R1 explained they do not like to drink water. R1 will drink iced tea from the dining room and fill their cup up and bring it back to their apartment. R1 explained that their family member attached a cup holder to R1’s walker and provided flavored packets for water. However, R1 doesn’t want to drink water. R1 explained they have the right to drink water/fluids when they feel like it. Staff interviewed confirmed they witness R1 drinking fluids but aware R1 doesn’t like water.

It was also alleged staff speak inappropriately to residents. It was reported Staff #1 (S1) was rude to R1 by commenting “where do you think you're going!" when R1 was taking their dog for a walk. S2 denied speaking inappropriately to R1 and explained they look out for R1 and their small dog. Additional interviews with staff and outside source’s confirmed they have not witnessed S1 speaking inappropriately R1 or residents.

It was also alleged that staff did not ensure resident's room is clean and sanitary. It was reported R1’s trash is not being emptied. Staff interviews identified the trash is removed/emptied each shift. Outside source interview indicated the trash will sit in R1’s room from Wednesday thru Saturday and emits odors. R1’s interview indicated the trash is removed/emptied daily. However, the trash is not emptied every shift on the weekends, but it will be emptied at some point during the weekend.

Lastly, it was alleged that staff did not provide notice of planned activities. It was reported that the monthly calendar was not printed and made available for individuals. An outside source reported it occurred in October 2025, and the facility only provided the weekly calendars. LPA observed the monthly calendars are on the facility televised showing throughout the day, as well as posted in some common areas. The Executive Director explained there was a mix up and the calendars were not delivered. Therefore, they provided many more options available for residents and visitors review.

During the course of the investigation, interviews were conducted, and records were reviewed. Investigation revealed inconsistent statements and information obtained did not present a preponderance of evidence to support or corroborate the allegations. The allegations are deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Executive Director, Kimberly Garcia whose signature below confirms receipt of these rights.