complaint·March 7, 2023

Facility staff are not ensuring that resident is following a prescribed diet R1's plan of care dated 6/21/2021 stated that R1 was on a renal and diabetic diet. Interview with staff revealed that diabetic diet limit carbs, more vegetables, less salt, and diabetic dessert. However, LPA observed R1's blood sugar log for October 2021 was in the high 300s with one day in the 500s. S4 stated that R1 does not keep to the diet and R1's doctor has been notified. After reviewing R1's file, LPA did not observed correspondence to doctor regarding R1 not adhering to renal and diabetic diet. Based on LPA's information obtained during investigation, the preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED . California Code of Regulations, Title 22, are being cited on the attached LIC9099D. Exit interview conducted. A copy of this report and appeal rights provided. Facility staff are not arranging transportation for resident's medical appointment. Interview with staff revealed that front desk was arranging transportation for R1. Transportation information indicated that facility was arranging transportation for R1 three days a week. Care notes indicated an incident where the car did not show up, but facility called another transportation service for R1 at a later time. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegations are UNSUBSTANTIATED . Exit interview conducted. A copy of this report provided.