complaint·February 15, 2024

The preponderance of evidence has been met, therefore, the allegation is substantiated. A $250.00 civil penalty is assessed for repeat violation of Regulation section # 87309(a). First and second citations were issued on 8/03/23 and 10/04/23. Allegation: Facility staff working in the kitchen do not observe food services sanitation practices. LPA observed 2 kitchen staff (KS1 and KS2), one peeling a pineapple and one doing the dishes with both with long hair not wearing hairnets. Although both staff had their hair tied back, one of the staff's hair dangling. Based on information obtained, the preponderance of evidence was met, therefore, the allegation is substantiated. Deficiencies, plan and proof of corrections and civil penalty were discussed with ED. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form, LIC421FC Civil Assessment, and copy of this report provided. Allegation: Facility inappropriately serving alcohol to residents. List of Activities includes Happy Hour once a week. ED stated Happy Hour is open to all residents; however, not a lot of residents come. There's residents who regularly join the Happy Hour and the staff who serve during Happy Hour has list of residents who are not to be given alcohol per doctor's order. If they are not sure, they give the resident a "mock cocktail". If there's a new resident who wants alcohol. the staff check with the doctor first; this statement was observed by LPA during Happy Hour as one ot the staff informed 1 of the resident. LPA interviewed the 3 staff, 2 of which stated they only serve alcohol to those who are on the list to be given. The staff only give maximum of 2 small cups which was confirmed by LPA upon observation. LPA reviewed 1 of the resident who is on the list allowed to be given alcohol, Record showed this resident does not have order from the doctor prohibiting the resident from alcohol consumption. Allegation: Staff drinking alcohol while at the facility. It was alleged that 3 staff (S1, S2 and S3) drink alcohol when at the facility. LPA interviewed S1, S2 and S3 who all denied the allegation. LPA interviewed other 7 staff, 6 of which stated not observing S1, S2 and S3 drinking alcohol when at the facility. LPA also interviewed 1 of residents family member who stated not observing any staff drinking alcohol. Based on all information gathered, the 3 allegations are unsubstantiated. A finding that a complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. No deficiency cited. Exit interview conducted, and copy of this report provided.