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13 | Licensing Program Analyst (LPA), Natasha Persaud conducted an unannounced visit to conclude the complaint investigation. LPA met with Executive Director, Kimberly Garcia and discussed the above mentioned allegations.
During the investigation, the facility was briefly toured, records reviewed, interviews conducted with staff, residents, and outside sources. It was alleged that staff did not ensure a resident had enough liquids, resulting in dehydration. Resident #1 (R1) Physician's Report dated 08/21/24 indicated R1 was Ambulatory and has a diagnosis of a Major Neurocognitive Disorder. It also indicated R1 was able to communicate needs, follow instructions, feed self, toilet, groom/dress, and bathe. It also stated R1 could administer their own inhaler. An outside source reported R1 was diagnosed with dehydration during a hospital visit on 09/22/25. A review of hospital records dated 09/22/25, reflected R1 went to the hospital regarding a medical condition. However, the medical condition was unrelated to dehydration. The documentation did not notate any dehydration for R1. Continued on LIC 9099C.
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