LPA Singh reviewed records and interviewed Staff and residents, based on records review, interviews and LPA's observation, Seven(7) out of Seven(7) residents and Four(4) out of Four(4)stated that Staff do prevents altercations between residents in care. According to facility staff, potential altercations between residents are pro-actively prevented through continuous supervision and the timely use of redirection techniques for those in their care. This supportive environment is reflected in the residents' own accounts, as they reported never having experienced any conflicts or altercations with one another. Instead, the residents characterized their relationships as harmonious, noting that they view each other as friends. According to facility documentation and staff interviews, residents regularly exhibit symptoms of sun downing—a state of increased confusion, anxiety, and agitation that typically occurs during the late afternoon or early evening hours. To address these behaviors effectively, the facility ensures that all personnel undergo specialized training designed to manage and mitigate instances of heightened resident distress. When a resident begins to display signs of sundown syndrome, trained staff members actively intervene using specialized behavioral techniques to de-escalate the agitation, offer redirection, and provide targeted comfort. This structured approach helps stabilize the residents' emotional states and maintains a safe, supportive environment and preventing altercations between residents in care.

LPA Singh reviewed records and interviewed Staff and residents, based on records review, interviews and LPA's observation, Seven(7) out of Seven(7) residents and Four(4)) out of Four(5) stated Staff always administers the medications according to physician's instructions. According to facility personnel, staff members consistently ensure that all residents are administered their medications in strict accordance with prescribing physicians' instructions. The team diligently follows the specific protocols and medical directives provided by each resident's primary care physician to maintain health, safety, and compliance

During the investigation, LPA did not find evidence to corroborate the allegations.

Based on the evidence found during the investigation, the allegations listed above Staff are not adequately supervising residents in care, Staff are not preventing altercations between residents in care and Staff do not ensure that resident(s) are administered their medications according to Physician's instructions are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations.