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Licensing Program Analyst (LPA) M Vega conducted an unannounced complaint investigation visit for the purpose of delivering the finding for the above allegations. LPA met with Administrator - Phoeun Marez. During the course of this investigation LPA reviewed facility files relevant to the complaint investigation, as well as conducting interviews. It was determined that the above allegations: Licensee does not ensure staff has a background clearance to provide care to residents is found to be UNFOUNDED. Staff per both visits were documents on staff roster. Interviews do not reveal any other names of workers working in the facility there are not associated to facility. Based on the investigation it has been determined the allegations are UNFOUNDED, meaning that the allegations were false, could not have happened or are without a reasonable basis. The complaint has therefore been dismissed. An exit interview was conducted and a copy of the report provided to Administrator - Phoeun Marez.Read the full finding— CDSS inspection report, December 18, 2025 · control 24-AS-20251105162206

This is an amended report On 09/24/2024, Licensing Program Analyst (LPA) V Gorban visited facility stated above to deliver findings. LPA met with Administrator Grace Petil, explained the purpose of the visit. LPA toured facility inside and out, observed residents in care and discussed findings to allegation. Allegation: Staff are overmedicationg a resident while in care. During complaint investigation department reviewed facility records, staff training, interviewed staff and Administrator, and observed the staff and residents during facility visits. Records review revealed that medications were provided to residents as prescribed. Although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated. Report continues on attached LIC9099-C UnsubstantiatedRead the full finding— CDSS inspection report, September 3, 2024 · control 24-AS-20240509140647

On 07/30/2024, Licensing Program Analyst (LPA) V Gorban visited facility stated above to deliver findings. LPA met with Administrator Grace Petil, explained the purpose of the visit. LPA toured facility inside and out, observed residents in care and discussed findings to allegation. Allegation: Staff did not assist resident in a timely manner, Staff took resident's personal items, Uncleared staff working at the facility. Staff did not follow resident's diet. During complaint investigation department reviewed facility records, staff training, interviewed staff and Administrator, and observed the staff and residents during facility visits. Although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated. Report continues on attached LIC9099-A UnsubstantiatedRead the full finding— CDSS inspection report, July 30, 2024 · control 24-AS-20240304102705

On 3/07/24, Licensing Program Analyst (LPA) V Gorban visited facility stated above to deliver findings. LPA met with Administrator Grace Petil, explained the purpose of the visit. LPA toured facility inside and out, observed residents in care and discussed findings to allegation. Facility was taken care of 6 residents, two of them was under hospice care. Allegation: Staff are unable to effectively communicate with resident. During complaint investigation department reviewed facility records, staff training, interviewed residents, staff, and Administrator. During resident's stay facility employed interpreter to communicate with resident with communication barrier. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Exit interview conducted, report signed and copy of this report provided to Administrator for facility records. UnsubstantiatedRead the full finding— CDSS inspection report, March 7, 2024 · control 24-AS-20240109112324

On 7/31/23, Licensing Program Analyst (LPA) V Gorban visited facility stated above to deliver findings. LPA met with Administrator Nastassha Brice, explained the purpose of the visit. LPA toured facility inside and out, observed residents in care and discussed findings to allegations. Facility was taken care of 5 residents, one of them was under hospice care. Allegation: Facility has no food Department reviewed facility records, interviewed residents, staff, and Administrator. During unannounced visits LPAs observed facility staff preparing meals for residents. Facility records provided by AD indicated facility adequately supply facility with groceries. AD provided groceries receipts statements for month of May that indicated that facility shop for groceries weekly. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Report continues on LIC9099-CRead the full finding— CDSS inspection report, July 31, 2023 · control 24-AS-20230508104516

On 5/10/23 Licensing Program Analyst (LPA) V Gorban visited facility stated above to deliver findings. LPA met with Administrator Nastassha Brice, explained the purpose of the visit. LPA toured facility inside and out, observed residents in care and discussed findings to allegations. Facility were taken care of 5 residents, one of them was under hospice care. Allegation: Facility does not have sufficient staff to care for residents. LPA reviewed facility records, interviewed residents, staff, and Administrator. Records indicated facility adequately staffed to support care for residents for all shifts, NOC included. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Continuation is on C-form UnsubstantiatedRead the full finding— CDSS inspection report, May 10, 2023 · control 24-AS-20230316114923