Allegation: Staff did not ensure resident personal property was kept safely secured. It is being alleged that $200 went missing from a residents wallet. It is also being alleged that this is the second time money has been taken from this resident. On 07/22/26, the department conducted interviews with S1-S5. Of those interviewed, 5 out of 5 staff denied the allegation. 5 out of 5 staff said they treat residents with dignity and respect. An interview with S1 revealed that R1's family member reported that $180 was missing from R1 on 07/13/26. S1 stated that they, along with the facility's Executive Director, went to R1's room to assist in searching for the missing money; however, the money was not located. S1 further stated that the family was advised of options to help safeguard R1's money, including installing a camera in R1's room and/or completing an LIC 405 to have facility staff secure and maintain and safekeep R1's funds.

On 07/22/26, the department conducted interviews with R2-R8 and attempted to interview R1; however, R1 was away from the facility at the time of the visit. The department also attempted to contact R1 by telephone but was unsuccessful. Of those interviewed, 7 out of 7 residents could not corroborate the allegation. 7 out of 7 residents stated they had never experienced any incidents involving missing money or personal belongings.

On 07/22/26, the department reviewed an Unusual Incident/Injury Report dated 07/13/26. The report documented that on 07/13/26, R1's family member contacted the facility to report that money was missing from R1. According to the report, S1, R1, and the facility's Executive Director, Holly Rice, spoke with R1's family member via speakerphone to discuss the details of the incident. The report stated that R1 had withdrawn $200 in cash on 07/08/26 and discovered on 07/13/26 that $180 was missing. The report further stated that S1 and Executive Director Holly Rice assisted R1 in searching R1's personal belongings, including the wallet, walker, clothing, pockets, and apartment; however, the missing cash was not located. The report documented that staff notified R1's family member that the cash could not be found and recommended that R1 maintain a Record of Resident's Safeguarded Cash Resources (LIC 405) in the administrative office to help safeguard R1's funds. The report also indicated that the incident was documented on the facility's theft and loss report.

Continued on LIC9099-C

Allegation: Staff does not ensure resident is provided with toileting assistance. It is being alleged that a staff member refuses to take a resident to the bathroom and instructs the resident to urinate in their diaper instead. On 07/22/26, the department conducted interviews with S1-S5. Of those interviewed, 5 out of 5 staff denied the allegation. 5 out of 5 staff said they treat residents with dignity and respect.

On 07/22/26, the department conducted interviews with R2-R8 and attempted to interview R1; however, R1 was away from the facility at the time of the visit. The department also attempted to contact R1 by telephone but was unsuccessful. Of those interviewed, 7 out of 7 residents could not corroborate the allegation. 3 out of 7 residents said staff assist them with their toileting needs, while 4 out of 7 residents said they do not require assistance with toileting. 7 out of 7 residents said they are satisfied with the service being provided to them.

Based on observation, records reviewed, and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been unsubstantiated.

Allegation: Staff does not provide resident with adequate assistance when standing. It is being alleged that staff will poke at the resident rather than assist them in getting up. On 07/22/26, the department conducted interviews with S1-S5. Of those interviewed, 5 out of 5 staff denied the allegation. 5 out of 5 staff said they treat residents with dignity and respect.

On 07/22/26, the department conducted interviews with R2-R8 and attempted to interview R1; however, R1 was away from the facility at the time of the visit. The department also attempted to contact R1 by telephone but was unsuccessful. Of those interviewed, 7 out of 7 residents could not corroborate the allegation. 7 out of 7 residents stated that staff treat them with dignity and respect.

Continued on LIC9099-C

Based on observation, records reviewed, and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been unsubstantiated.

No deficiencies were cited during today's visit.

An exit interview was conducted, and a copy of this report was provided to Sandra Marquez.