Crescendo Senior Living

Allegation investigated: Staff does not ensure facility plumbing is in good repair.

An unannounced Complaint Investigation was conducted on this day regarding the allegation mentioned above by Licensing Program Analyst (LPA) Claudia Gutierrez. LPA met with Executive Director (ED) Laurie Galal and the purpose of the inspection was discussed. Interviews were conducted with eight facility residents and four staff. During their interview, Resident (R1) stated they have had plumbing issues on and off during the entire time they have been residing at the facility, approximately five years. Per R1, in January 2026, the floor in their bedroom and bathroom became flooded and they were informed the leak was coming from Resident 2’s (R2’s) and Resident 3’s (R3’s) bathroom. R1 stated they were hospitalized in February 2026 and a dry washcloth was placed next to their bathroom sink and it should have been dry as no one should have been using the sink in their bathroom, however, the washcloth was wet. Per R1, Resident 4 (R4) and Resident 5 (R5) have also had plumbing issues, as welthe state’s words, verbatim · CDSS document, Mar 11, 2026 · control 22-AS-20260303085841

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: Staff is mismanaging resident's medications. Staff does not provide adequate supervision resulting in resident sustaining multiple falls.

On February 23, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to initiate the investigation into the allegations listed above and to deliver the complaint findings. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Director of Wellness Alex Gutierrez was notified via telephone and later arrived to assist with the inspection. During the course of the investigation, LPA conducted resident interviews, staff interviews, reviewed medication and medication administration records, reviewed and collected pertinent documents for this complaint. Regarding the allegation, staff is mismanaging resident's medications, the following has been concluded: It was alleged that staff are mismanaging Resident #1 (R1) medication. LPA reviewed the medications, the prescribed orders, and the medication administration records for R1. LPA observed that staff were providing the routine medications to R1 accordithe state’s words, verbatim · CDSS document, Feb 23, 2026 · control 22-AS-20260218185737

Allegation investigated: Staff are discriminating against a resident. Staff are not allowing resident to participate in activities.

Licensing Program Analyst (LPA) Ruth Martinez conducted an unannounced visit to the facility to investigation the above identified complaint allegations and deliver findings. LPA Martinez met with Laurie Galal, Executive Director and explained the purpose of the visit. During the course of the investigation, interviews were conducted, a tour of the physical plant of the facility was conducted, a review of facility records was completed and copy of pertinent documents obtained. It is alleged that staff are discriminating against a resident, specifically being told they cannot speak Spanish at the premises. Interview with staff stated that they do not tell residents what language to speak, there are staff that speak various languages and can communicate with residents without a problem. The facility has various residents that their primary language isn’t English, and they do not interfere with their Continued on LIC9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 3, 2026 · control 22-AS-20260126142017

Allegation investigated: Facility did not accept resident back after hospital stay.

An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez. LPA met with Executive Director (ED) Laurie Galal and explained the purpose of the inspection. Complaint alleges Facility did not accept Resident 1 (R1) back after their hospital stay. On December 16, 2025, R1 was hospitalized and placed on a psychiatric hold. On December 22, 2025, the Department received a request for prior approval of 3-Day eviction of R1 from the facility. On December 24, 2025, the Department denied the facility’s request, and Wellness Director (WD) Kim Mims was notified of the Department’s decision by phone. Denial letter was also sent via certified mailed to Licensee’s mailing address. (Cont. LIC9099-C) Substantiatedthe state’s words, verbatim · CDSS document, Dec 26, 2025 · control 22-AS-20251223164221

Allegation investigated: Staff handled resident roughly

An unannounced complaint investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez regarding the allegation mentioned above. LPA met with Executive Director (ED) Laurie Galal and discussed the purpose of the inspection. Regarding the allegation, Staff handled resident roughly, the following was revealed: it is alleged (Staff 1) S1 grabbed Resident 1 (R1) and had them "dangling" for about five to seven minutes. Interviews were conducted with R1, four additional facility residents, S1, and two additional staff. During their interview, R1 corroborated the allegation and stated S1 handled them in a rough manner while assisting them with Activities of Daily Living (ADLs). Per R1, S1 lifted them up in a rough manner using their arms, however, was unable to go into further detail or indicate if S1's actions led to an injury. During their interview, four of four additional residents interviewed denied being handled in a rough manner and denied having any knowthe state’s words, verbatim · CDSS document, Dec 18, 2025 · control 22-AS-20251211114703

Allegation investigated: Staff did not ensure resident received medication as prescribed. Resident sustained unexplained bruising while in care. Staff did not provide adequate supervision resulting in resident sustaining multiple falls. Staff did not notify resident's responsible party of change in resident's condition. Staff did not safe guard resident's personal belongings.

An unannounced complaint investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez regarding the allegations mentioned above. LPA met with Executive Director (ED) Laurie Galal and discussed the purpose of the inspection. Regarding the allegation, Staff did not ensure resident received medication as prescribed, the following was revealed: it is alleged Resident 1 (R1) did receive a routine medication from January 05, 2025 to January 12, 2025 due to facility staff not refilling the medication. During the course of the investigation, LPA conducted record review of R1’s Medication Administration Records (MARs) and observed routine medication in question to have been administered every day for the month of January 2025. During their interview, R1 was unable to confirm or deny allegation. LPA attempted to contact R1’s responsible party, Witness 1 (W1) on three separate occasions, however, W1 could not be reached to confirm or deny allegation. LPA conductedthe state’s words, verbatim · CDSS document, Dec 18, 2025 · control 22-AS-20250226154531

Allegation investigated: Staff does not ensure facility plumbing is in good repair.

An unannounced Complaint Investigation was conducted on this day regarding the allegation mentioned above by Licensing Program Analyst (LPA) Claudia Gutierrez. LPA met with Executive Director (ED) Laurie Galal and Wellness Director (WD) Kim Mims Interviews were conducted with four facility residents regarding the allegation, Staff does not ensure facility plumbing is in good repair. During their interview, Resident (R1) denied the allegation. During their interview, Resident 2 (R2) denied having any plumbing issues in their private bathroom, however, stated that Resident 3 (R3) has had plumbing issues due to their toilet being clogged and stated they believed R3 was flushing large wipes down the toilet. During their Resident 3 (R3) stated their toilet had been clogged but was immediately repaired by maintenance staff with no impact to their living accommodations. During their interview, R4 denied having any plumbing issues pertaining to their private bathroom, however, stated that R3'sthe state’s words, verbatim · CDSS document, Nov 25, 2025 · control 22-AS-20251123164608

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 staff did not give the resident's medication as prescribed.

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate an investigation into the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the investigation, LPA toured the facility and interviewed staff and resident. Regarding the allegation that facility staff did not give the resident's medication as prescribed, the investigation revealed the following: Resident 1 (R1) is diagnosed with Dementia per physician report dated 04/26/2024. Per review of facility charting, resident is having instances of hallucinations. LPA interviewed the resident who denied being poisoned by the facility with medications or vinegar. Resident stated having vinegar for cleaning needs. Review of the resident's medication orders and medication administration record indicated resident is receiving medications as prescribed. Facility manages resident medications. Based on interviews conducted and record revithe state’s words, verbatim · CDSS document, Feb 19, 2025 · control 22-AS-20250214132731

Allegation investigated: rDue to lack of supervision, resident had an unwitnessed fall

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of delivering findings into the investigation of the allegation listed above. LPA was greeted and granted entry by Executive Director Laurel Galal after explaining the purpose of the visit. An initial investigation visit was held on October 1, 2024. During this visit, LPA requested and obtained the facility's census for the assisted living and memory care buildings. Resident records including physician report, individual needs and services plan, resident assessments as well as hospital visit reports for 2023 and 2024 were provided for resident R1. An interview with R1 was conducted along with two memory care staff interviews. Additional witness interviews were conducted via telephone. CONTINUED ON FORM LIC9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 9, 2024 · control 22-AS-20240923104800

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.

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