It is alleged that The Licensee requires all clients to leave the facility from 8:30 a.m. to 1:30 p.m., Monday through Friday. On 02/25/26 from 11:00 am- 12pm conducted Interview with (S1) regarding the allegation above. S1 denied the allegation above and reported that it is not mandatory for clients to be out of the facility, however clients enjoy going to their day programs. On 02/25/26 and 03/19/26 LPA conducted interviews with C1-C8 regarding the allegation above. 3 of the 8 clients interviewed denied the allegation above, 2 of the 8 clients interviewed confirmed the allegation above and reported that clients cannot be home as Licensee has errands to run, 3 of the 8 clients interviewed reported having no knowledge of the allegation above as they do not miss programming. On 02/26/26 LPA conducted a telephone interview with S2 regarding the allegation above, S2 denied the allegation above.

Allegation: Staff does not allow visitors access to the facility during business hours

It is alleged that the Licensee does not allow visitors at the facility from 8:30 a.m. to 1:30 p.m., Monday through Friday. On 02/25/26 from 11:00 am- 12pm conducted Interview with (S1) regarding the allegation above. S1 denied the allegation above and reported that visitors can visit the facility whenever they want. Per S1, all clients signed and obtained a copy of the house rules upon admission. Additionally, S1 reports that S1 sent Licensing Program Manager (LPM) Cifuentes an updated rules/policy but I have not heard back to know if they are approved or not. On 02/25/26 and 03/19/26 LPA conducted interviews with C1-C8 regarding the allegation above. 7 of the 8 clients interviewed denied the above allegation. 1 of the 8 clients interviewed confirmed the above allegation. On 02/26/26 LPA conducted a telephone interview with S2 regarding the allegation above, S2 denied the allegation above and reported that visitors are allowed at the facility until 10 pm daily. On 03/03/26 LPA conducted a review of facility rules, per facility rules the curfew for the facility is 10pm. On 03/03/25 LPA conducted a review of the admission agreement for C1-C3. Per admission policy, the visiting policy is as follows: Monday-Friday afternoons 1pm-10pm after clients return from programming and Saturday-Sunday all day.

Allegation: Staff does not ensure ratio requirements are followed.

It is alleged that the Licensee does not have enough staff to care for all clients in care. On 02/25/26 from 11:00 am- 12pm conducted Interview with (S1) regarding the allegation above. S1 denied the allegation above and reported there are a total of 4 staff employed including self (S1). Additionally, S1 reported that there are no clients at the facility who require constant nor 1 to 1 supervision. On 02/25/26 and 03/19/26 LPA conducted interviews with C1-C8 regarding the allegation above. 8 of the 8 clients interviewed denied the allegation above and reported there are 2 staff at the facility each day. On 02/26/26 LPA conducted a telephone interview with S2 regarding the allegation above, S2 denied the allegation above. Per S2, there are 2 staff at the facility daily, which are the Licensee in the morning and S2 at night. S2 continued to report there are no clients in care that require constant nor 1 to 1 supervision. On 03/03/26 LPA conducted a review of the employee roster, per roster the Licensee works from 7am-7pm 6 to 7 days a week, S2 works from 7pm- 7am 5 days a

Allegation: Staff does not ensure facility provides adequate meal portions to clients.

It is alleged that meal portions are inadequate and that clients who return late for meals are denied food. On 02/25/26 from 11:00 am- 12pm conducted Interview with (S1) regarding the allegation above. S1 denied the allegation above and reported that clients are not turned away, per S1 if a client misses a meal client will be provided with leftovers if available or a sandwich, fruit and a beverage is provided to client. Additionally, S1 stated that when a client misses a meal the client will report having a meal while out in the community. On 02/25/26 and 03/19/26 LPA conducted interviews with C1-C8 regarding the allegation above. 3 of the 8 clients interviewed confirmed the allegation above and reported that if clients are out in the community during mealtimes, meals are not provided upon clients return to the facility. 3 of the 8 clients interviewed denied the allegation above and reported that meals are provided when clients return to the facility if clients are out in the community during mealtimes. 2 of the 8 clients interviewed reported that meals are sometimes provided upon return if clients are out in the community during mealtimes. Additionally, 1 of the 8 clients interviewed reported that when a client requests a meal the answer is sometimes no. 8 of the 8 clients interviewed reported having no concerns about the meal portions provided. On 02/26/26 LPA conducted a telephone interview with S2 regarding the allegation above, S2 denied the allegation above and stated that meals are wrapped and put away, however S2 states that clients usually tell staff that clients ate while out of the facility.

Allegation: Staff do not ensure a weekly menu is posted in the facility.

It is being alleged that the facility does not post a weekly food menu. On 02/25/26 from 11:00 am- 12pm conducted Interview with (S1) regarding the allegation above. S1 denied the allegation above and reported that the facility meal menu is posted on the board so the clients can look at it. Furthermore, S1 reports that sometimes clients ask if the menu can change and facility would do so if the items requested are on hand. On 02/25/26 and 03/19/26 LPA conducted interviews with C1-C8 regarding the allegation above. 4 of the 8 clients interviewed denied the allegation above and reported knowing where the menu is located, 3 of the 8 clients confirmed the allegation, and 1 of the 8 clients interviewed reported being unaware if the facility has a menu. On 02/25/26 LPA conducted a tour of the facility and observed facility menus to be posted in the dining room. On 02/26/26 LPA conducted a telephone interview with S2 regarding the allegation above, S2 denied the allegation above and reported there is a menu that S1 and S2 prepare.

Allegation: Staff does not ensure clients receive 3 meals per day.

It is being alleged that staff do not ensure clients receive 3 meals a day. On 02/25/26 from 11:00 am- 12pm conducted Interview with (S1) regarding the allegation above. S1 denied the allegation above and reported that Monday-Friday if at the day program, the facility provides breakfast, snacks and dinner as clients have lunch at their day programs.

Allegation: Staff does not allow clients to bring outside food into the facility.

It is alleged that the facility does not allow outside food inside the facility from visitors. On 02/25/26 from 11:00 am- 12pm conducted Interview with (S1) regarding the allegation above. S1 denied the allegation above and reported that clients are allowed to bring food purchased from out in the community however food cannot be stored in the bedrooms as facility wants to avoid having pest. On 02/25/26 and 03/19/26 LPA conducted interviews with C1-C8 regarding the allegation above. 7 of the 8 clients interviewed denied the above allegation, 1 of the 8 clients interviewed confirmed the above allegation. On 02/26/26 LPA conducted a telephone interview with S2 regarding the above allegation, S2 denied the allegation above and reported that clients are allowed to bring in food bought out in the community as long as clients eat the food at the dinner table.

Allegation: Staff does not provide clients with adequate storage space for personal items.

It is alleged that the facility limits clients to 5 articles of clothing in their drawers and does not provide clients with sufficient storage space for clothing. On 02/25/26 from 11:00 am- 12pm conducted Interview with (S1) regarding the allegation above. S1 denied the allegation above and reported that clients have dressers that are overflowing with clothes. Additionally, S1 reports that any additional personal belongings are placed in stackable bins and stored in the garage. On 02/25/26 and 03/19/26 LPA conducted interviews with C1-C8 regarding the allegation above. 8 of the 8 clients interviewed denied the above allegation. On 02/26/26 LPA conducted a telephone interview with S2 regarding the above allegation, S2 denied the allegation above and reported that clients each have a chest, and a share closet that has shelves. S2 also reports that clients can also store their belongings in the garage. On 02/25/26 LPA conducted a tour of the facility and observed each client to have their own dresser in addition to a shared closet in each bedroom.

Allegation: Staff does not provide recreational activities for clients.

It is being alleged that the facility does not provide clients recreational activities beyond the day program. On 02/25/26 from 11:00 am- 12pm conducted Interview with (S1) regarding the allegation above. S1 denied the allegation above and stated that there are puzzles, cards, board games, and dominos available for the clients to use. Furthermore, S1 states that community outings are offered, however not every client wants to participate in a certain activity as not every client wants to go out at the same time. On 02/25/26 and 03/19/26 LPA conducted interviews with C1-C8 regarding the

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.