complaint·December 13, 2022

Allegation: Facility did not have a current care plan for resident – Substantiated The Department has investigated this allegation and per records review and interviews found that facility didn’t have current care plan for 3 residents who were randomly reviewed. The latest care plans for these 3 residents were observed dated in year 2019. Resident R1 has been requesting an updated care plan since the beginning of 2022, it has not been discussed and provided until the new management came on aboard in September 2022. Allegation: Facility did not have sufficient staff to meet residents' needs – Substantiated The Department has investigated this allegation and per records review and interviews found that only one care staff worked at PM shift 8 days in July staff work schedule, they were from 7/22/22 to 7/26/22, and from 7/29/22 to 7/31/22, and no care staff was scheduled to work at NOC shift on 7/31/22. Work schedule indicated that 2 care staff were scheduled at PM shift and 1 care staff was scheduled at NOC shift daily, however, staff was no show on above dates, facility was unable to provide information to proof additional care staff was added on schedule. Based on information obtained, the preponderance of evidence is met, therefore the allegations are substantiated. Deficiencies are cited from Title 22 California Code of Regulations (see 9099D). Failure to submit proof of correction by plan of correction due date and any repeat violation within 12 month period may result in civil penalty. Deficiencies and plan and proof of correction were discussed with the Administrator. Exit interview conducted. Appeal Rights, LIC9099D, and copy this report provided. Allegation: Facility food is not adequate (lacks nutrition, freshness, unappetizing, poor quality, timeliness) – Unsubstantiated The Department has investigated this allegation and per records review and interviews found that facility menus were designed and monitored by Crandall Corporate Dietitians. Administrator stated that the corporation didn't allow facility to create separate menus. Administrator provided copies of dietitians quarterly audit report to CCL for review, it was the 4th quarter report of year 2022 dated on 11/8/2022. 7 residents were interviewed, 5 of them stated that food was adequate and service was met. Due to the communal dinning room was closed in Covid outbreak, meals were delivered to each resident's room. Some residents received meals later than normal meal time, residents stated that the delay was not bad and acceptable. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are UNSUBSTANTIATED.