Allegation: Unlawful eviction.

It is alleged that the facility issued an unlawful eviction notice to a resident in care. On 05/29/26 and 08/19/26 LPA conducted Interviews with R2-R6 regarding the allegation above. 5 of the 5 residents interviewed denied the allegation above and report they have not received an eviction notice since receiving services at the facility. On 05/29/26 LPA could not conduct interviews with R1 as R1 did not want to be interviewed. On 05/29/26 and 06/10/26 LPA conducted interviews with S1-S6 regarding the allegation above. 4 of the 6 staff interviewed reported having no knowledge of the above allegation. 2 of the 6 staff interviewed denied issuing an unlawful eviction, however 2 of the 6 staff interviewed reported that 1 resident in care has been issued with an eviction notice although the resident is currently still at the facility. Furthermore, 2 of 6 staff stated that resident in care was issued an eviction notice due to aggressive behavior, and non-compliance in care. On 05/29/26 LPA observed R1 yelling at care staff in the lobby, LPA later observed R1 yelling at other residents in the dining room during lunch time, and R1 was observed refusing services from outside agencies. On 06/22/26 LPA conducted a review of an unusual incident report dated: 05/17/26 that was faxed to CCLD, per incident report resident in care was aggressive towards care staff during activities of daily living (ADL) which resulted in staff injury. LPA conducted a review of August health notes dated: 01/22/26-05/28/26, LPA observed multiple documented incidents of physical and verbal aggressive behaviors. On 06/22/26 LPA conducted a file review and observed that CCLD obtained a copy of the eviction letter served to residents’ responsible party on 05/19/26. Eviction letter was reviewed by the Department and was found to be in compliance with Title 22 regulations. On 06/10/26 LPA was informed that R1 was moved from the facility on 06/04/26 by R1’s responsible party.

It is alleged that the facility’s staffing and care has been substandard with consistent inability to meet basic ADL and medication needs. On 05/29/26 and 08/19/26 LPA conducted Interviews with R2-R6 regarding the allegation above. 5 of the 5 residents interviewed denied the above allegation and reported feeling safe when being cared for by facility staff. 3 of the 5 residents interviewed report that they require assistance with ADLs and state that the staff have not refused to assist them. 5 Additionally, 5 of 5 residents reported that the staff are providing them with medication. On 05/29/26 and 06/10/26 LPA conducted interviews with S1-S6 regarding the allegation above. 6 of the 6 staff interviewed denied the above allegation and reported that training upon hire consists of Reliase video training and shadowing in addition of monthly in-services. 6 of 6 staff interviewed reported that dementia training is provided and is ongoing. On 08/19/26 LPA conducted a review of Service Plan dated: 05/26/2026 which indicates that R1 needs hands-on assistance with bathing, dressing, toileting. LPA conducted a review of shower schedule for May 2026, per schedule R1 was scheduled to shower 3 times a week. LPA conducted a review of August health notes dated: 01/22/26-05/28/26, LPA observed multiple documented incidents reporting that R1 was refusing ADL care. Per documentation, R1 refused ADL care and became combative on 05/07/26, 05/19/26, 5/14/26, 05/15/26, 05/16/26, and 05/18/26. Additionally on 08/19/26 LPA conducted a review of R1’s February 2026, January 2026, and May 2026 Medication Administration Record (MAR), LPA observed there were 19 documented medication refusals for the month of February 2026, 32 documented medication refusals for March 2026, and 14 documented medication refusals for the month of May 2026.

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.

Exit interview conducted, and a copy of this report was provided.