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Allegation investigated: Staff does not ensure resident to have personal phone calls. Staff isolates resident.

Amended- On April 13, 2026, Licensing Program Analyst (LPA), Mia Lankford, conducted an unannounced visit to the facility to initiate the investigation into the allegations listed above. LPA met with Administrator, Kerry Tweedy and informed her of the purpose of LPA’s visit. During the course of the investigation, LPA conducted interviews with facility staff and residents and reviewed pertinent documentation. On April 6, 2026, Community Care Licensing (CCL), received a complaint investigation alleging that staff does not ensure resident is allowed to have personal phone calls and staff isolates resident. It was reported that Resident #1 is not allowed to receive phone calls from Resident #1’s daughter and Resident #1’s family is not allowing Resident #1 to have visitation from other family members. Information obtained interview with Administrator stated that Resident #1 is not placed at the facility. Administrator stated Resident #1 is placed in the independent living facility, whichthe state’s words, verbatim · CDSS document, Apr 13, 2026 · control 18-AS-20260406170821

Allegation investigated: Facility is not adhering to refund procedures in admission agreement.

Amended- On 4/13/2026, Licensing Program Analyst (LPA), Mia Lankford, conducted an unannounced visit to the facility to initiate the investigation into the allegations listed above, and to conduct a health and safety check. LPA met with Administrator Kerry Tweedy, and informed her the purpose of the LPA's visit. Based on interviews conducted, records reviewed, and observations made during the course of the investigation, and the facility own admission to sending the check out late without confirming if the check was cashed by the payee, the Department did obtain sufficient evidence to support the allegation, Therefore, the allegation is determined to be substantiated at this time. CCR 87507(5)(A)1 Facility policy concerning refunds including the conditions under which a refund for advanced monthly fees will be returned in the event of a resident's death, pursuant to Health and SafetyCode section 1569.6527being cited on the attached LIC 9099D). An exit interview was conducted with Adminthe state’s words, verbatim · CDSS document, Apr 13, 2026 · control 18-AS-20260320152920

Allegation investigated: Staff did not ensure that hot water was made available at the facility

Licensing Program Analyst (LPA), Armando Perez conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegation. LPA Perez met with Senior Resident Care Director Jennee Cunningham, where the LPA explained the purpose of the visit and the elements of the allegation. The investigation consisted of interviews with staff and witnesses and file reviews. On February 12, 2026, Community Care Licensing Division (CCLD), received a complaint alleging that facility staff did not ensure that hot water was made available at the facility. It was alleged facility did not have hot water for at least two days leading to concern that the kitchen was sanitizing dishware with cold water. An interview could not be conducted with Additional Witness 1 (AW1) due to complaint submitted anonymously. Interview with Senior Resident Care Director (SRCD) Jennee Cunningham revealed that an issue with the water heater was communicated to administration on February 11, 20the state’s words, verbatim · CDSS document, Feb 17, 2026 · control 18-AS-20260212101717

Allegation investigated: Facility staff obtained power of attorney for a resident

Licensing Program Analyst (LPA), Armando Perez, conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegation. LPA Perez met with Business Office Director Lisa Stanford, where the LPA explained the purpose of the visit and the elements of the allegation. The investigation consisted of interviews with staff and witnesses, and file reviews. On October 28, 2025, Community Care Licensing Division (CCLD) received a complaint alleging that facility staff obtained power of attorney for a resident. It was alleged that Resident 1 (R1) appointed a staff member as Power of Attorney for medical decisions. Interview with Executive Director Roland Gandy revealed that the names provided do not match any current or former resident or staff member. Additionally, Staff 1 (S1) conducted a search of the facility’s database and confirmed that no current or former records match the names of R1 or the alleged staff member. Continued on LIC 9099-C. Unfoundedthe state’s words, verbatim · CDSS document, Nov 12, 2025 · control 18-AS-20251028113318