Complaint Investigation Report

Based on a review of the facility records, it was learned that this facility was placed on a plan for increased monitoring due to the implementation of am informal conference that was held back on 11/22/2024. It was learned that as part of this agreement and increased monitoring for this facility, this facility was expected to provide weekly updates for the outings that were to be scheduled and participated in by the facility residents. These weekly updates were to be completed and submitted into CCL on a monthly basis since its inception on 11/22/2024.

It was learned that the last updates for the scheduled outings and facility resident participation was last performed for the time frame ending in March 2025. It was learned that submissions for these activities and outings updates were only completed for (2) of the (4) residents at that time.

It was learned that this facility was not following the guidelines that were previously laid out in the informal conference in regards to maintaining outings and offering activities to the residents.

As a result of this investigation, this LPA found the allegation to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegation was valid because the preponderance of the evidence standard had been met.

The following deficiencies were observed and cited on the following LIC 9099-D pursuant to Title 22 Rules and Regulations, Division 6 and Health and Safety Codes.

Appeal rights were printed and a copy was left with the facility designated Administrator at this time.