complaint·November 1, 2023

Staff are not following proper infection control requirements- UNSUBSTANTIATED It was reported that kitchen staff do not use hair nets and do not wash their hands. During an unannounced visit to the facility on 10/06/2023 LPA entered the vestibule that leads to the kitchen doors. LPA observed a sign on the door that reads "All employees must wash hands and wear a hair net. When entering the vestibule LPA observed a kitchen staff enter the kitchen, apply a hairnet and wash their hands, this staff person was unaware of LPA’s presence during this observation. LPA observed four staff working in the kitchen, all wearing hair nets. Executive Director stated that California Department of Public Health received the same complaint because the facility prepares meals for their skilled nursing facility. CDPH investigated the same allegations. The only citation they issued was for a mislabeled box, no other citations were issued. This allegation is unsubstantiated. Staff left residents unattended- UNSUBSTANTIATED It was reported that there was a shortage of kitchen staff and memory care staff were assisting in the kitchen leaving the memory care unit unattended. LPA reviewed the kitchen staffing schedule for the month of September 2023. On 9/24/2023 the schedule shows that one cook called out for the day and tended their resignation over the phone. On the same day a second cook walked out of the building at 7:30 AM without notice. The Dietary Services Manager came on shift after being notified. The Executive Director provided additional assistance. LPA reviewed the memory care staffing schedule for the month of September 2023. On 9/24/3023 the schedule shows there was 1 med tech and 2 care staff on duty for the shift of 6:30 AM through 2:30 PM. Continued on LIC9099-C Page 2 Executive Director stated the med techs were in the kitchen for approximately ½ hour the day the cook walked out. During this time there were 2 care staff in Memory Care. 1 care staff, 1 server and 1 med tech were in the kitchen. The med tech that was in the kitchen was readily available for meds and emergencies during that time. The Dietary Services Director was already on their way and arrived approximately 30 minutes after the cook left. It was determined that there were two care staff in the Memory Care unit while the med techs were assisting for 30 minutes in the kitchen due to the short-term staffing shortage. This allegation is unsubstantiated. Facility does not have sufficient emergency food supplies - UNSUBSTANTIATED During an unannounced visit to the facility on 10/06/2023 LPA observed an ample supply of non-perishable foods in the kitchen pantry. This allegation is unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are UNSUBSTANTIATED. An exit interview was conducted. A copy of the report was provided to administrator Irene Davis.