On April 3, 2025, LPA toured the facility. LPA observed a total of four (4) staff members on-site: one (1) Administrator and three (3) caregivers. Two (2) caregivers were assisting residents with lunch in the dining room. One (1) caregiver was observed standing in the main hallway, while the Administrator was seen conversing with a resident and their visiting family. No additional staff members were observed at the facility aside from the three caregivers and the Administrator. All four (4) staff present at the time were associated with the facility. LPA visited six resident rooms, the dining room, the Administrator’s office, and an employee-only staff room.

On April 3, 2025, LPA reviewed six (6) staff records and confirmed that all six staff members were associated with the facility. The Administrator and Staff Member 5 (S5) had been employed at the facility since 1988. Staff Member 4 (S4) had been working there since 1998, and Staff Member 3 (S3) since 2006. Staff Members 1 (S1) and 2 (S2) had both been employed since 2023.

LPA conducted interviews with four (4) staff members: the Administrator (ADM), S1, S2, and S3. The Administrator reported having five (5) full-time and two (2) part-time staff. ADM stated that during the day shift, three to four staff members were typically present, while two staff members were always scheduled for the night shift. On Tuesdays and Wednesdays, five staff members were scheduled to work. Only S2 stayed at the facility. S1, S2, and S3 stated that they were paid by check twice a month, on the 15th and 30th, and that they always received their pay on time, including any overtime compensation. They further stated that they enjoyed working at the facility and described the Administrator as very nice.

LPA interviewed four (4) residents: R1, R2, R3, and R4. R1 stated they liked living at the facility and that care staff always responded promptly to call button requests. R2 shared that the care staff made genuine efforts and provided good care. R3 expressed satisfaction with the quality of care received. R4 mentioned that the staff had remained mostly the same over the past two years, describing them as good people with whom they had no issues. R4 did note occasional language barriers with staff but said it was not a frequent issue and overall, the staff did a very good job.

Continued on LIC9099-C

Based on observations, interviews conducted, and records reviewed, the department has determined that 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 under the California Code of Regulations, Title 22.

An exit interview was conducted with the Administrator. A copy of this report was discussed and provided to the Administrator, Alan Tuan, whose signature on this form confirms receipt of this report.