Complaint Investigation Report

LPA Monter interviewed staff (S1 and S2) and ADM regarding the allegation that staff are sleeping in the garage. ADM stated no one sleeps in the garage and staff do not sleep there.

Based on interview with staff (S1), S1 admitted and confirmed that he/she sleeps in the garage. S1 also reaffirmed that the picture taken was where he/she sleeps.

On April 04, 2024, LPA Monter and Partoza interviewed S3. S3 stated in November/October 2023 a staff member was sleeping in the garage.

Based on interviews, the preponderance of evidence standard has been met therefore the above allegations is found to be SUBSTANTIATED.

Deficiencies were cited from California Code of Regulations, Title 22 during today’s visit, see LIC 9099-D.

This report was reviewed with Administrator Irish Ladwig, and a copy of the report was provided. Appeal Rights was provided.

Facility accepted residents with a prohibited condition.

On November 3, 2023, the Department investigated on an allegation that the facility accepted a resident with a prohibited condition (G-tube).

LPA Monter interviewed S1 and S2 who stated that R1 has G-tube.

LPA interviewed resident R1. R1 stated he/she just moved back to the facility in October 2023 after hospitalization. R1 stated the after-hospital discharge, he/she has G-tube which will be remain in place at the recommendation of R1’s physician.

LPA interviewed ADM. ADM stated he/she only has one resident who has the G-tube. ADM stated when R1 came back to the facility on October 2023, he/she had a G-tube. Page 2 Out of 3