Laverne Senior Carehome

Allegation investigated: Staff allow resident to stay in her soiled clothing for extended periods of time Staff do not ensure resident is provided with transfer assistance to her chair Resident developed minor pressure injuries while in care Staff do not ensure residents call button is operational at all times Staff did not ensure residents personal property was safely secured Staff do not ensure resident is spoken to in an appropriate manner Staff handled resident in a rough manner resulting in resident sustaining a bruise

On 12/02/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct subsequent investigation and deliver complaint findings on the above allegations. LPA introduced self, stated the purpose of the visit and met with Assistant Administrator Lisa Pua. During the course of the investigation, interviews were conducted, and facility was toured. The residents’ call buttons are functional and operational during visit. Based on interviews conducted, staff changes residents brief throughout the day and as needed. Staff attend R1 and assist R1 in transfer. Allegation alleging staff allow resident to stay in her soiled clothing for extending periods were investigation in complaint 24-AS-20250410163831 and found to be Unsubstantiated. Based on interviews conducted and records reviewed, there was insufficient evidence to prove or disprove that staff did not ensure R1 is provided with transfer assistance to the resident’s chair, resident developed minor pressure injuries while in carthe state’s words, verbatim · CDSS document, Dec 2, 2025 · control 24-AS-20250724084651

Allegation investigated: Staff do not provide adequate food service Staff do not follow proper food safety practices

On 12/02/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct subsequent investigation and deliver complaint findings on the above allegations. LPA introduced self, stated the purpose of the visit and met with Assistant Administrator Lisa Pua. During the course of the investigation, facility was toured. The facility has adequate perishable and nonperishable foods. Perishable food was observed stored in the refrigerator and freezer. Nonperishable food was observed stored in the pantry. Based on observation, the preponderance evidences has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. Exit interview was conducted. A copy of this report was provided to Assistant Administrator, whose signature on this form confirms receipt of this report. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 2, 2025 · control 24-AS-20250725095205

Allegation investigated: Staff do not allow resident access to personal belongings

On 12/02/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct subsequent investigation and deliver complaint findings on the above allegations. LPA introduced self, stated the purpose of the visit and met with Assistant Administrator Lisa Pua. During the course of the investigation, facility was toured, interviews were conducted, and records were reviewed. R1’s belongs were not observed at the facility. R1 have taken R1’s personal belongings after R1 relocated from the facility. Based on observation and interviews conducted, the preponderance evidence has not been met, therefore the above allegation is found to be UNSUBSTANTIATED. Exit interview was conducted. A copy of this report was provided to Assistant Administrator, whose signature on this form confirms receipt of this report. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 2, 2025 · control 24-AS-20250805122608

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility does not have proper fire clearance

On 07/11/25, Licensing Program Analyst (LPA) M. Yang arrived to conduct an unannounced subsequent complaint investigation and met with Assistant Administrator Lisa Pua. During the course of the investigation, the Department conducted interviews, reviewed records, and toured the facility. The facility has no fire clearance for bedridden resident and has admitted R1 a bedridden resident to the facility. Based on observation, interviews conducted and records reviewed, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, Chapter 6 is being cited on the attached Lic 9099D. An exit interview was conducted. A copy of this report and appeal rights was provided to Administrator Assistant, whose signature confirms receipt of this report. Substantiatedthe state’s words, verbatim · CDSS document, Jul 11, 2025 · control 24-AS-20250410163831

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Resident sustained unexplained injuries while in care

Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to deliver findings on the allegation listed above. LPA met with Facility caregiver, Bienvel Yap , and explained the purpose of today's visit. Regarding the allegation Resident sustained unexplained injuries while in care. Facility staff reported incidents on 08/09/23, and 08/11/23 documenting Resident 1 did have behaviors while attending day program that could result in unexplained injuries. LPA interviewed two facility staff members who both stated Resident 1 does on occasion have behaviors at the facility that could result in possible injuries such as bruising or scratches . Based on the interviews conducted, documentation obtained and reviewed, and the information received during this investigation, the preponderance of evidence standard has not been met; therefore, the above allegation is found to be unsubstantiated at this time. No deficincies cited today Per Title 22 Regulations. Exit interview cothe state’s words, verbatim · CDSS document, Jan 10, 2024 · control 24-AS-20231109141012

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.