Complaint Investigation Report

547200844-11-25-2025-24-AS-SMOA-DR5N7Q-20260209091303

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

This is an official report of an unannounced visit/investigation of a complaint received in our office on

06/05/2025 and conducted by Evaluator Mary Garza

COMPLAINT CONTROL NUMBER: 24-AS-20250605163501

Generations Program Director, Isabel Cervantes

On 11/25/25 Licensing Program Analyst (LPA) M. Garza completed an unannounced visit to deliver complaint findings. Facility is currently without an Executive Director/Administrator effective 11/19/25. LPA met with Generations Program Director, Isabel Cervantes, explained reason for visit and was permitted entry into the facility. Residents observed in common areas.

During investigation interviews were conducted with staff, residents, and responsible parties. Documentation (staff schedules, staff roster with contact information, calls of service, resident files for R1 R2, R3, R4 and R5, staff files for S1 and S2,special incident reports, safeguarding for cash and valuables, and bank statements) were reveiwed. Tours of the facility were conducted on 06/10/2025 and 10/25/25. During interviews it was disclosed mulitiple residents had money and items of value stolen from them. Interviews and records reviewed show that not all incidents were reported to the local law enforcement or Community Care Licensing. S1 has been terminated from the facility. Deficiencies cited on attached 9099D per California Code of Regulations, Title 22.

Exit interview completed with Generations Program Director, Isabel and Resident Care Coordinator, Brittany Polman. A plan of correction was developed by GPD and RCC and reveiwed by LPA. A copy of this report, deficiencies and appeal rights provided.