La Marea Senior Living

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 in care eloped from facility and sustained multiple injuries

Licensing Program Analyst (LPA) Ramin Hashemi conducted an unannounced visit to deliver findings regarding the above complaint allegation. LPA introduced themselves and disclosed the purpose of the visit to Executive Director (ED) Janet Miller. On 09/28/21 it was alleged "Resident in care eloped from facility and sustained multiple injuries." The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, residents, outside sources, and records review. Regarding the allegation, Resident 1 (R1) eloped from the facility during the night and found their way to the hospital after they sustained injuries (bruises and scratches) after falling during the elopement. (Continued on LIC9099C, Page 2) Substantiatedthe state’s words, verbatim · CDSS document, Feb 26, 2026 · control 08-AS-20210928124543

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: Staff did not prevent an adult at the facility from touching a resident inappropriately

Licensing Program Analyst (LPA) Ramin Hashemi conducted an unannounced visit to deliver findings regarding the above complaint allegation. LPA introduced themselves and disclosed the purpose of the visit to Executive Director Johnathan Thomas. On 12/16/2025, it was alleged " Staff did not prevent an adult at the facility from touching resident inappropriately." The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, residents, outside sources, and records review. Regarding the allegation, " Staff did not prevent an adult at the facility from touching resident inappropriately.", it was alleged that Resident 1 (R1) had been sexually assualted by a facility staff member during an event held at the facility. (Continued on LIC 9099C, Page 2) Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 9, 2026 · control 08-AS-20251215140338

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 are mismanaging residents medications.

Licensing Program Analyst (LPA) Janet Ngallo conducted an unannounced visit to deliver findings regarding the above complaint allegation. LPA introduced themselves and disclosed the purpose of the visit to Executive Director Johnathan Thomas. On September 16th, 2025, it was alleged that the staff mismanaged resident’s medication. The Department’s investigation consisted of an unannounced facility visit, records review, staff, and outside source interviews. According to the allegation received, Resident #1 (R1) was not given their medication for 9 days. It was alleged that due to R1's lack of medication, R1 showed extreme emotional symptoms. It was alleged that staff notified R1's POA about the medication running out several days after R1 had not been taking said medication. [Continued on LIC9099-C] Substantiatedthe state’s words, verbatim · CDSS document, Oct 20, 2025 · control 08-AS-20250916112659

Allegation investigated: Staff are not checking on residents at night

Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced visit for a complaint investigation. LPA identified herself and discussed the allegation mentioned above with Senior Business Office Director, Reika Villagomez Marron and Generation Program Director, Daisy Rodriguez. During the investigation, the facility was briefly toured, records reviewed, and interviews conducted with staff and outside sources. It was alleged staff are not checking residents at night. It was reported that Resident #1 (R1) was not checked on by the NOC shift staff on 10/04/25, from 9:15pm to 6:30am. It was also reported R1 was calling out for help and asking for water. The NOC shift hours are from 10:30pm to 6:30am. R1 resided in the secured memory care unit. R1’s Physician Report dated 08/01/25, indicated R1 had a diagnosis of a Major Neurocognitive Disorder. It also reflected that R1 was incontinent of bladder, required assistance with transferring/repositioning, bathing, dressing/grooming, athe state’s words, verbatim · CDSS document, Oct 13, 2025 · control 08-AS-20251007103525

Allegation investigated: Facility staff failed to keep resident hydrated resulting in acute kidney injury.

On 9/29/2025, LPA Grace Donato conducted a telephone interview with the facility to deliver findings. LPA spoke with Executive Director Johnathan Thomas and explained the purpose of the call. Regarding the allegation Facility staff failed to keep resident hydrated resulting in acute kidney injury, Reporting party (RP) stated that RP was concerned because resident (R1) was severely dehydrated. During the investigation, staff members were interviewed, and records were reviewed. According to staff interviews, all mentioned that R1 liked to drink coffee and water and R1 would often ask staff for water throughout the day. R1 had a personal water glass that is kept beside R1s bed and staff would fill it whenever it got low. S1 mentioned that when R1 would wake, R1 always asked for coffee and water. page 1 of 2 Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 29, 2025 · control 08-AS-20240220115737

Allegation investigated: Facility neglect resulted in resident sustaining fractures while in care Staff did not provide timely medical assistance to resident after a fall Staff did not notify resident’s family member of changes in residents condition Facility did not report incident

Licensing Program Analyst (LPA) Hannah Rodgers conducted an unannounced visit to deliver investigative findings regarding the above-mentioned allegations. LPA identified herself and was granted entry by Executive Director Johnathan Thomas. LPA stated the purpose of the visit and reviewed the findings of the complaint with Executive Director Thomas. The Department’s investigation consisted of interviews with staff and outside sources and record review of relevant documents pertinent to this investigation. On March 22, 2024, it was reported that Resident #1 (R1) sustained fractures due to neglect resulting in a fall while in care, and, that R1 was not provided timely medical assistance after the fall. It was also reported that staff did not observe R1 for their change in condition, and that the facility did not report incidents as required. [CONTINUED ON LIC9099-C] Substantiatedthe state’s words, verbatim · CDSS document, Sep 25, 2025 · control 08-AS-20240322161610

Allegation investigated: Staff did not handle resident with dignity Staff yelled at resident

Licensing Program Analyst (LPA) Hannah Rodgers conducted an unannounced visit to initiate and deliver findings regarding the above complaint allegations. LPA introduced themselves and disclosed the purpose of the visit to Executive Director Johnathan Thomas. On September 8, 2025, it was alleged that staff did not handle residents with dignity and staff yelled at residents. It was alleged that Staff #1(S1) abruptly pushed Resident #1 (R1) in their wheelchair and yelled at them while doing so. It was also alleged that R1 had been roughly handled by an unknown staff member previously as well. [See LIC811 Confidential Name List for identification of select person identifiers used in this report]. The Department’s investigation consisted of an unannounced facility visit, records review, and staff, resident, and outside source interviews. [CONTINUED ON LIC9099-C] Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 12, 2025 · control 08-AS-20250908111122

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.

Allegation investigated: Staff do not ensure that resident's hygiene needs are being met Facility is malodorous Staff do not assist residents to dinning hall Untrained staff providing care and supervision Staff handle residents in a rough manner

Licensing Program Analyst (LPA) Ryan Fulton and Licensing Program Manager (LPM) Jennifer Lott conducted an unannounced subsequent visit to deliver findings regarding the above allegation(s). LPA/LPM were welcomed by, identified themselves to, and discussed the purpose of the visit with Resident Services Director Sonia Molina. The Department's investigation consisted of LPA observations, interviews with facility staff, residents, and outside sources, as well as records reviews. It is alleged that staff do not ensure that resident's hygiene needs are being met. Specifically, it was alleged that R1 was left in soiled sheets and that staff were applying too much gel to R1's hair. R1, is visually impaired and requires assistance with toileting. (Continued on LIC9099C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 27, 2024 · control 08-AS-20240625130417

Allegation investigated: Staff did not respond to resident's call button in a timely manner.

Licensing Program Analysts (LPAs) Ryan Fulton and Arian Golbakhsh, along with Licensing Program Manager (LPM) Jennifer Lott, conducted an unannounced subsequent visit to deliver findings regarding the above allegation(s). LPAs/LPM were welcomed by, identified themselves to, and discussed the purpose of the visit with Executive Director Johnathan Thomas. The Department's investigation consisted of LPA observations, interviews with facility staff, residents and outside sources as well as records reviews. It was alleged that on or about 02/03/2024, that staff did not respond to the resident's call button in a timely manner. Interviews conducted with staff revealed that all call pendant response times should not exceed ten minutes. Facility records revealed that during the timeframe of 01/22/2024 to 02/05/2024, the staff response times on 76 occasions, exceeded 20 minutes. Interviews and records revealed that most staff shortages took place during the early morning to mid-morning hours. (Cthe state’s words, verbatim · CDSS document, Nov 22, 2024 · control 08-AS-20240308114025

Allegation investigated: Staff do not provide adequate food service for residents

Licensing Program Analyst (LPA) Ryan Fulton conducted an unannounced 10-day visit to initiate a complaint investigation and deliver findings regarding the above mentioned allegation. LPA introduced himself and disclosed the purpose of the visit to Executive Director Gregory Case. On 07/09/2024, it was alleged that staff did not provide adequate food service for residents. The department investigation consisted of LPA observations, interviews with facility staff, residents, and records reviews. The investigation revealed that during the timeframe of the complaint, staff provided adequate food service. LPA observed food offerings and determined that food was in good quality. Interviews revealed that food deliveries have no been of poor quality. Staff indicated that they have all been sufficiently trained in food safety and are continuously trained throughout their careers. Staff informed that food is ordered regularly and checked for freshness before it is received from the food vendor.the state’s words, verbatim · CDSS document, Aug 21, 2024 · control 08-AS-20240709132740

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.

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.