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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603504
Report Date: 07/10/2026
Date Signed: 07/10/2026 02:21:53 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/11/2026 and conducted by Evaluator Noemi Galarza
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260211084916
FACILITY NAME:LA POSADAFACILITY NUMBER:
198603504
ADMINISTRATOR:BEATRIZ ROMEO-LUIFACILITY TYPE:
740
ADDRESS:8120 PAINTER AVETELEPHONE:
(562) 945-2651
CITY:WHITTIERSTATE: CAZIP CODE:
90602
CAPACITY:114CENSUS: 85DATE:
07/10/2026
UNANNOUNCEDTIME BEGAN:
09:29 AM
MET WITH:Colleen Rozatti, Executive DirectorTIME COMPLETED:
02:20 PM
ALLEGATION(S):
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Staff did not properly report incidents involving residents.
Staff do not meet and have updated services plans for the residents.
Staff do not perform proper reassessments for the residents.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Galarza conducted a subsequent visit to investigate and deliver findings on the above allegations. Executive Director Colleen Rozatti was explained the purpose of the visit.

The investigation consisted of: On 2/13/2026 an initial visit was conducted. Subsequent visits were conducted on 4/24/2026 and 7/10/2026. During the visits a physical plant tour of activity rooms, resident rooms, common areas, dining room/kitchen meal service, laundry rooms, and Memory Care Unit. Resident and facility records were obtained. A total of nine (9) staff and nine (9) residents were interviewed.

*Report continuation on LIC9099C.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 11
Control Number 28-AS-20260211084916
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: LA POSADA
FACILITY NUMBER: 198603504
VISIT DATE: 07/10/2026
NARRATIVE
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Allegation: Staff did not properly report incidents involving residents. It is alleged that facility staff did not submit incident reports within reporting requirements time frame. According to information obtained, multiple incident reports and/or death reports were not submitted to CCLD within 7 days. Based on staff interviews, in December 2025 the Wellness Director resigned. The Resident Care Coordinator was appointed facility designee on December 25, 2025. According to staff, the Wellness Department team and Executive Director are responsible for oversight of the medication room and Wellness Department responsibilities i.e., submitting incident reports. Based on record review, the findings revealed that from December 2025- February 2026 a total of 30 incident reports and one (1) death report were submitted late; not within Title 22 reporting requirement of 7 days. Therefore, there is sufficient evidence to support the allegation.

Allegation: Staff do not meet and have updated services plans for the residents. It is alleged that multiple residents' service plans are not updated despite documented changes in condition, and staff are not following existing service plans. For instance, facility procedure is to develop a service plan within 48 hours of move-in date, and routinely update every 3 months and/or as needed. Personnel and licensee were interviewed. The findings indicate that the Executive Director, Resident Care Coordinator, and Wellness Director are accountable for the service plan assessments. The Resident Care Coordinator is responsible for completing services plans. Once the service plan is completed August Health electronic health record (EHR) software automatically send the service plan to the resident's authorized representative/responsible party for review and signature. Staff stated that some residents service plans are not completed because their authorized representative has not signed it electronically. On February 13, 2026, ten (10) August Health service plans were audited by LPA. The findings indicate that residents (R1- R4's) service plans were completed late and/or there was no service plan in the file. For example, resident (R2) moved in to the facility on September 26, 2025 and their service plan was completed on February 1, 2026. The allegation is supported.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 11
Control Number 28-AS-20260211084916
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: LA POSADA
FACILITY NUMBER: 198603504
VISIT DATE: 07/10/2026
NARRATIVE
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Allegation: Staff do not perform proper reassessments for the residents. The complaint alleges staff are not conducting reassessments when residents have a change in condition. For instance, when residents are discharged from the hospital and return to the facility a reassessment is to be completed. Personnel interviews confirmed that after a change in condition that results in hospitalization or skilled nursing facility care resident's are to be reassessed prior to returning to the facility. Based on record review conducted on February 13, 2026 of August Health records, resident (R4) had a change in condition on December 29, 2025, resulting in hospitalization. The resident returned to the facility on December 31, 2025. As of February 13, 2026 no reassessment had been completed after R4's change in condition. Resident (R5's) was hospitalized on 1/2/26- 1/4/26, again on 1/5/26 and returned on 1/13/26, but as of 2/13/26 no reassessment documentation had been completed. The allegation is supported.

Based on record review and interviews conducted the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Pursuant to Title 22, California Code of Regulations, deficiencies are cited.

An exit interview was conducted with Anahi Reyes. A copy of the report and appeal rights were provided.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 11
Control Number 28-AS-20260211084916
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: LA POSADA
FACILITY NUMBER: 198603504
VISIT DATE: 07/10/2026
NARRATIVE
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Allegation: Staff are not meeting the residents hygiene needs. It is alleged several residents do not have shower schedules and are not consistently receiving showers. Personnel interviews revealed that the Resident Care Coordinator is responsible for creating the shower schedule. If a resident is enrolled in home health or hospice care and is bed bound the outside agencies bathe the residents and change their bed sheets. Staff stated if any resident has an incontinence accident staff assist and provide personal hygiene care. Staff interviews revealed there are bed bound residents that smell and their bed sheets are dirty. According to staff, hospice and home health staff bathe the residents and change their sheets, but facility staff assist when needed. In April 2026, the facility had 9 bed bound residents enrolled in hospice and/or home health. Facility shower schedule and service plans were reviewed. The findings indicate some residents' service plan bathing needs/enhanced needs indicate there is 3-tier assistance. For instance, if a resident requires minimal bathing assistance they are provided bathing assistance 1x week, if a resident requires moderate/max assist (1-person assist), they are bathed 2x week, and when a resident requires moderate/max assist with bathing (2-person assist) is provided 1x week. A total of 9 residents were interviewed, all denied the allegation. Caregivers shower residents and if needed medication technicians assist. There is insufficient evidence to support the allegation.

Allegation: Staff do not have planned activities for the residents. It is alleged that in early 2026 the Memory Care Unit was not providing social, physical, and cognitive/sensory activities for residents regularly because the Activities Director was only able to assist in the Assisted Living side of the facility. All staff and residents denied the allegation. A total of 9 residents were interviewed. Residents stated they are offered activities daily and are encouraged to participate. None of the residents had any concerns with planned activities/activity calendar. Staff interviews revealed that prior to the hiring of the current Activities Director activities were being planned and conducted by the Activities Assistant. However, the staff person went on an extended leave of absence, that according to staff did not affect activities because other facility staff such as, Memory Care Unit and Assisted Living caregivers lead resident activities. Staff acknowledged that sometimes due to unforeseen circumstances staff that lead facility activities call off. Therefore, planned activities may have been affected, but alternate staff covered and lead the activities. The current Activities Director was hired on 10/6/2025. They are responsible for creating activity calendars for the Memory Care Unit and Assisted Living residents, plans holiday events, and coordinates activity snacks with the facility dietician. Activities Director said that when they began working at the facility there were on-going activities. They stated that when they are off activities is still conducted and staff have been trained to follow the monthly activities calendar. Based on observation, both the Memory Care Unit and Assisted Living area have posted activity calendars and resident engagement was observed. Record review confirmed the Activity Director is experienced and is knowledgeable about social, physical, and cognitive/sensory activities. Therefore, there is insufficient information to support the allegation.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2026
LIC9099 (FAS) - (06/04)
Page: 9 of 11
Control Number 28-AS-20260211084916
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: LA POSADA
FACILITY NUMBER: 198603504
VISIT DATE: 07/10/2026
NARRATIVE
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Allegation: Facility is in financial distress. It is alleged several employees resigned due to not being paid on time. It is also alleged that utility and commercial food distributors were not paid on time. As a result, the facility received notice that power would be shut down, and kitchen personnel had to substitute meals because commercial food orders were no being delivered due to lack of payment. Residents interviewed had no knowledge of alleged financial difficulties. License and all staff interviewed denied the allegation. Licensee stated the company Chief Financial Officer is responsible for paying all bills. Utilities have never been shut down and personnel is paid via auto-pay. None of the staff interviewed reported non-payment of salary or knowledge of any financial distress. Interviews revealed the building had a power outage due to city utilities, and not due to non-payment of utility bill. There is insufficient evidence to support the allegation.

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

An exit interview was conducted and a copy of this report was discussed and provided to Executive Director
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2026
LIC9099 (FAS) - (06/04)
Page: 11 of 11
Control Number 28-AS-20260211084916
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: LA POSADA
FACILITY NUMBER: 198603504
VISIT DATE: 07/10/2026
NARRATIVE
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Allegation: Staff did not afford a resident privacy. The complaint alleges facility staff infringed upon residents' privacy when they contacted a resident's family member without documented consent after an incident. It is also alleged that residents' privacy was impacted because resident's electronic health records were being accessed by corporate and other 3rd party personnel. A total of 9 residents were interviewed, none stated they feel their privacy has been compromised. Staff stated that a resident was observed drinking alcohol while parked in the parking. Their car keys were not taken away. Staff called the resident's family member, who was listed as an emergency contact in their file. A care plan meeting that included the resident's physician advised the resident shall not drive due to frequent consumption of alcohol. Based on record review, the family member that was contacted regarding the incident is listed as the resident's responsible party in the resident's file. There is insufficient information to support the allegation.

Allegation: Staff do not ensure the facility is properly maintained. The complaint alleges the building has on-going roof leaks that are not addressed in a timely manner. Resident interviewed stated the facility is well maintained and acknowledged their was a water leak that was repaired right away. Staff interviews revealed that the building does have water leaks especially after heavy rain, but all leaks are immediately addressed by the maintenance director and/or 3rd party vendors. Staff said the kitchen had an overflow of water because a resident in the 2nd floor left a toilet tank opened causing a leak that traveled directly beneath to the 1st floor. The maintenance director used a snake to tool to unclog the toilet, which then caused a pipe to break. Plumbers were immediately called and repaired the pipe and the leak was fixed. Based on maintenance invoice review and interviews, there is insufficient evidence to support the allegation.

Allegation: Staff do not meet the residents laundry needs. It is alleged the laundry machines break down often and there is insufficient laundry machines to handle the laundry needs of the residents. All residents interviewed stated their laundry needs are met and reported no issues with their laundry. All staff interviewed denied the allegation. Staff interviews revealed that the facility previously had washer and dryers that at times not able to handle the laundry needs of the building, and a result they broke down. Maintenance and housekeeping staff stated that despite occasions in which the laundry machines were in disrepair there was enough operable machines to complete all laundry tasks. According to staff, the 1st floor has 2 washers and 2 dryers, and the 2nd floor has 4 washers and 3 dryers. The 1st floor washers were replaced earlier this year and are under commercial warranty. Based on interviews conducted, the findings indicate when a washer and/or dryer breaks down maintenance staff and 3rd party company immediately make repairs. LPA inspected laundry rooms during the visits, and did not observe any machine disrepair or laundry issues. There is insufficient evidence to support the allegation.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2026
LIC9099 (FAS) - (06/04)
Page: 10 of 11
Control Number 28-AS-20260211084916
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: LA POSADA
FACILITY NUMBER: 198603504
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/10/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/31/2026
Section Cited
CCR
87463(b)(1)(E)
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Reappraisals. The reappraisal shall document significant changes in the resident's physical, mental, cognitive, behavioral, or functional condition.....Significant changes in condition...Illness or injury that results in a significant change in the health care or dietary needs of the resident. This posed a potential health and safety risk.
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Executive Director agreed to submit copies of R4 & R5's reappraisals and proof of staff in-service training.
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Based on record review, residents (R4 & R5) had a change in condtion that resulted in hospitalizations. Documentation of completed reassessments upon return were not observed or provided during the 2/13/26 initial complaint visit. This posed a potential health and safety risks to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 11
Control Number 28-AS-20260211084916
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: LA POSADA
FACILITY NUMBER: 198603504
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/10/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/31/2026
Section Cited
CCR
87211(a)(1)
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Reporting Requirements. A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below..... This requirement was not met evidenced by:
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Executive Director agreed to:
1. Submit a written plan of correction addressing incident reports/death reporting requirements and facility procedures.
2. Staff in-service training on regulation 87211

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Based on record review, the findings indicate from December 2025- February 2026 a total of 30 incident reports and one (1) death report were submitted late, which posed a potential health and safety risk to persons in care.
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Type B
07/31/2026
Section Cited
CCR
87506(b)(17)(E)
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Resident Records. Each resident’s record shall contain at least the following information: Documents and information required by the following: (E) Section 87463, Reappraisals; and... This requirement was not met evidenced by:

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Executive Director agreed to submit a written plan of correction /certification that residents (R1 -R4's) services plans are updated and proof of staff in-service training in resident records and service plans.
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Based on record review of electronic health records, multiple residents' service plans were not updated despite documented changes in condition. Service plans were completed late and/or there was no service plan in the file; this poses a potential health and safety risk to persons in car.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 11
Control Number 28-AS-20260211084916
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: LA POSADA
FACILITY NUMBER: 198603504
VISIT DATE: 07/10/2026
NARRATIVE
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Allegation: Facility does not have a qualified and certified administrator. The complaint alleges the facility did not have an Administrator beginning February 3, 2026. It is alleged the licensee appointed an unqualified individual as the facility Administrator/Executive Director that did not have the required education and experience to oversee an RCFE of +50 residents. Staff and licensee were interviewed. Licensee stated the former Wellness Director was re-hired and appointed facility Designee because Executive Director Beatriz Romeo-Lui went on leave on February 9, 2026. Per licensee's request, the former Wellness Director visited the facility on February 9, 2026, but signed the employment contract on February 11, 2026. Licensee stated the Designee/Former Wellness Director was not appointed Administrator/Executive Director, but they do have an Administrator Certificate. Former Wellness Director stated they were appointed Designee/Interim Executive Director during Ms. Romeo-Lui's absence leave. Based on record review, the findings indicate the licensee did not appoint former Wellness Director as the facility Administrator/Executive Director. On April 6, 2026, a new Executive Director was hired. The allegation cannot be supported.

Allegation: Staff allow access to confidential information. It is alleged that overseas individuals have access to electronic health records (EHR) and are accessing the facility "August Health" software that contains confidential resident information. Based on interviews, the licensee, Executive Director, Resident Care Coordinator, Wellness Director, business office manager, and lead medication technician have full access to records. There are additional personnel that have access i.e., medication technicians, caregivers, corporate personnel, and facility consultants. Licensee stated everyone that accesses electronic health records work for the company. During the initial complaint visit (2/13/26) administrative staff accessed August Health and demonstrated it's functions, systems, and analytics. There is insufficient evidence to prove that unauthorized persons accessed confidential health records.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2026
LIC9099 (FAS) - (06/04)
Page: 8 of 11
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/11/2026 and conducted by Evaluator Noemi Galarza
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260211084916

FACILITY NAME:LA POSADAFACILITY NUMBER:
198603504
ADMINISTRATOR:BEATRIZ ROMEO-LUIFACILITY TYPE:
740
ADDRESS:8120 PAINTER AVETELEPHONE:
(562) 945-2651
CITY:WHITTIERSTATE:CAZIP CODE:
90602
CAPACITY:114CENSUS: 85DATE:
07/10/2026
UNANNOUNCEDTIME BEGAN:
09:29 AM
MET WITH:Colleen Rozatti, Executive DirectorTIME COMPLETED:
02:20 PM
ALLEGATION(S):
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Staff allowed unauthorized individuals access to the residents medications.
Staff consumed a resident's medication.
Facility does not have a qualified and certified administrator.
Staff allow access to confidential information.
Staff are not meeting the residents hygiene needs.
Staff do not have planned activities for the residents.
Staff did not afford a resident privacy.
Staff do not ensure the facility is properly maintained.
Staff do not meet the residents laundry needs.
Facility is in financial distress.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Galarza conducted a subsequent visit to investigate and deliver findings on the above allegations. Executive Director Colleen Rozatti was explained the purpose of the visit.

The investigation consisted of: On 2/13/2026 an initial visit was conducted. Subsequent visits were conducted on 4/24/2026 and 7/10/2026. During the visits a physical plant tour of activity rooms, resident rooms, common areas, dining room/kitchen meal service, laundry rooms, and Memory Care Unit. Resident and facility records were obtained. A total of nine (9) staff and nine (9) residents were interviewed.

*Report continuation on LIC9099C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 6 of 11
Control Number 28-AS-20260211084916
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: LA POSADA
FACILITY NUMBER: 198603504
VISIT DATE: 07/10/2026
NARRATIVE
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Allegation: Staff allowed unauthorized individuals access to the residents medications. The complaint alleges individuals not employed by the facility had unauthorized access to the medication room and resident medications. It was reported that the individuals toured the building, offices and spent time in the medication room providing feedback to the Wellness Department. Based on interviews conducted the findings indicate that on February 4, 2026 Omnicare Pharmacy audited the medications. On February 9, 2026, licensee, Wellness Director, and a former medication technician staff were present in the medication room while Omnicare pharmacy personnel conducted medication reconciliation. According to interviews, the former staff was invited by the Licensee to show the new Wellness Director medication room documentation and inventory procedures. Interviews revealed that former staff and licensee did not handle any medications. Per interviews conducted, Omnicare pharmacy conducts quarterly medication audits. There is insufficient information to support the allegaiton.

Allegation: Staff consumed a resident's medication. It is alleged that former Wellness Director took and consumed a resident's PRN "as needed" medication for personal use. Staff interviews revealed that on February 9, 2026, two (2) medtechs witnessed former Wellness Director take a PRN "Tums" from resident (R1)'s PRN medication supply. It is alleged surveillance cameras captured the incident. Interviews revealed the incident was reported to the facility’s Human Resource Department. The facility initiated an internal investigation, but the former Wellness Director resigned without notice following the February 9, 2026 incident. LPA was unable to interview the former Wellness Director. Based on record review, an additional medication issue 2/6/2026 there a narcotic count discrepancy. The facility cross reported the incident to Whittier Police and CCLD and med-tech staff was terminated. During the February 9, 2026 incident the medication was removed from the resident’s bottle and taken for personal use, constituting misappropriation of resident property and improper medication handling. However, there is insufficient information to support the allegation.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2026
LIC9099 (FAS) - (06/04)
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