Complaint Investigation Report

LPA interviewed the administrator and S1 and neither could provide details pertaining to the activities that the facility has for the residents.

During the 10-day complaint visit, LPA did not observe any activities at the facility and LPA observed the TV was broken (The facility was cited on 10/29/2025 and the TV has been replaced).

The State Official also reported that during his/her visits, there were no activities at the facility.

After the investigation, this allegation is deemed to be substantiated.

Based on interviews and record reviews during the investigation, the preponderance of evidence standard has been met. Therefore, this allegations were determined to be substantiated. Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC9099-D. Failure to correct the deficiencies may result in civil penalties.

Report was discussed with caregiver and the administrator who was on the phone.

A copy of the report and the appeal rights were provided.