Allegation #1: Facility staff are retaining residents that require a higher level of care.

On January 31, 2026, between 08:40 AM and 3:35 PM, the Department interviewed staff members identified as Staff #1 through Staff #7 (S1-S7). Seven (7) out of seven (7) staff members could not validate this claim. (S1) confirmed that there are no residents currently retained in the facility who require a higher level of care. The facility is licensed to provide assisted living and memory care. (S1) stated that the facility collaborates with home health and hospice agencies and is licensed to accommodate 25 hospice residents, but currently only 10 are receiving care. To ensure the facility does not retain a resident who needs a higher level of care, they typically follow these steps: monitor changes in condition, review facility admission and retention criteria, engage healthcare professionals, communicate with residents and their families, and document everything. (S1) further explained that these steps are performed when the resident has been hospitalized for several days. (S2-S7) verified that there are no residents that are being retained with restricted or prohibited health conditions at the facility.

On January 31, 2026, between 09:00 AM and 11:59 AM, the Department interviewed resident members identified as Resident #1 through Resident #10 (R1-R10). Ten (10) out of ten (10) could not validate this claim. All residents are unaware of any resident being retained at the facility that requires a higher level of care.

During the visit on January 31, 2026, an inspection included observing residents in rooms #115, #118, #120, #132, #137, #143, #208, #226, and #252, in the assisted living and memory care units. The Department did not observe any residents who required higher acuity of care.

A review of the facility Resident Roster (dated: 01/31/26) and Personnel Roster (dated 01/31/26) along with personnel training requirements. Upon further review of the two random resident physicians' report, LIC 602A, it was determined that the residents do not require a higher level of acuity in care.

Due to a lack of sufficient information, including the absence of names of residents or demonstrative evidence, there is insufficient evidence to support the allegation mentioned above.

(Evaluation Report continues LIC 9099-C)

On January 31, 2026, between 08:40 AM and 03:35 PM, the Department interviewed staff members identified as Staff #1 and Staff #7 (S1-S7). Seven (7) out of seven (7) staff members could not validate this allegation. (S1) stated they were not aware of any substandard food served or misconduct by food service staff regarding safe handling practices. (S5-S6) claimed safe handling practices for kitchen workers include regular handwashing, preventing cross-contamination, thorough cooking and reheating of food, and maintaining food at safe temperatures. They clean and sanitize surfaces and equipment frequently, store food properly, and be aware of fire safety. (S5-S6) stated that they receive training titled "Food Safety for Food Handlers." (S5-S6) emphasized that servers are required to wear appropriate and clean uniforms, aprons, hair restraints, and gloves. They also clarified that all contaminants are carefully managed and never served to residents, as ensuring their safety and well-being is the top priority. Additionally, the facility collaborates with a nutritionist who assesses nutritional needs, develops meal plans and special diets, monitors food services, provides staff education, and ensures compliance with documentation.

On January 31, 2026, between 09:00 AM and 11:59 AM, the Department interviewed resident members identified as Resident #1 through Resident #10 (R1-R10). Ten (10) out of ten (10) could not support this claim. All residents indicated that they had no issues or concerns about the quality of the food or its handling procedures. All residents emphasized that they have consistently observed the kitchen staff practicing safe food handling.

On January 31, 2026, between 02:15 PM and 02:25 PM, the Department inspected the main kitchen, dining room, and the ice cream café. During the inspection, the Department observed that kitchen staff were wearing gloves, hair restraints, aprons, and clean uniforms. The food supply was managed with appropriate dates to prevent spoilage and was stored at the correct temperatures according to Title 22 regulations. Moreover, the Department observed the presence of additional supplies of food thermometers, gloves, cleaning and sanitation supplies (like spray bottles and brushes), food preparation tools (such as cutting boards and labels), storage containers, and personal protective equipment (PPE), including aprons and masks.

(Evaluation Report continues LIC 9099-C)

Due to a lack of sufficient information, including the absence of names of staff or demonstrative evidence, there is insufficient evidence to support the allegation mentioned above.

Allegation #3: Facility is in disrepair.

On January 31, 2026, between 08:40 AM and 03:35 PM, the Department interviewed staff members identified as Staff #1 and Staff #7 (S1-S7). Seven (7) out of seven (7) staff members could not corroborate this allegation. (S1) stated that the facility is not in poor condition due to neglect. (S1) claimed the facility was built in the 1980s, and anything in use for that long will require maintenance and upkeep. The facility has an in-house maintenance team that attends to all the work orders and prioritizes each order based on priority. (S7) reported the process for submitting work orders through the front desk has been verified, ensuring compliance documentation remains up to date. The maintenance team diligently reviews the work order summary each day, prioritizes tasks, and takes appropriate actions to address them. Each completed task is documented with the time required to resolve it. It’s worth noting that while many repair services are handled promptly, some may experience delays due to the need to engage outside vendors or wait for necessary parts. (S7) noted that recognizing the facility's lack of control over delays can help establish realistic expectations and improve communication regarding repair timelines.

On January 31, 2026, between 09:00 AM and 11:59 AM, the Department interviewed resident members identified as Resident #1 through Resident #10 (R1-R10). Ten (10) out of ten (10) could not validate this claim. All residents stated they had no concerns about the facility's upkeep. All residents affirmed that the facility is prompt in addressing repairs in their rooms and in the facility's common areas.

During the visit on January 31, 2026, an inspection included observation of rooms #115, #118, #120, #132, #137, #143, #208, #226, and #252, assisted living and memory care floors, pool, spa, laundry, main kitchen, main dining, living room, activities room, rear lobby, offices, conference room, stairs and elevators. Inspection revealed the facility to be clean and sanitary, with hot and cold water, air conditioning, electrical systems, signal systems, telecommunications system and smoke detectors in working order.

(Evaluation Report continues LIC 9099-C)

Due to a lack of sufficient information, there is insufficient evidence to support the allegation mentioned above.

Based on the information collected from the facility inspection, observations, interviews, and records analysis, the Department found no evidence to support the above allegations. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are Unsubstantiated.

No deficiencies were cited

An exit interview was conducted with Aurelien Fruit, and copies of the reports were provided.