complaint·April 15, 2025

Continued from LIC9099. arrival R1 had not been changed since the night prior. S2 stated normally there are two (2) staff at the facility, but there are times there is just one (1) staff to tend to all the residents. R1 and R2 stated there is just one (1) staff at the facility during the day and night. During LPA’s visit on November 12, 2024, there was only one (1) staff (S2) present. LPA observed S2 cooking, passing medication, and cleaning. S3 arrived at approximately 2:30pm. LPA reviewed the personnel report and observed there is only one (1) staff during the day and night. The personnel report indicated S3 works 12:00am – 8:00am. Allegation: Staff do not respo nd to resident's call for assistance in a timely manner. Based on initial interviews with W1 and W2, R1 must yell for assistance due to there being only one (1) staff on duty and there is not any type of call system. W1 also stated R1 is told staff are busy cleaning and she would have to wait. S2 stated that sometimes a resident will have to wait due to there is only one (1) staff and the other residents needs tending to also. R1 stated the facility does not have any type of call pendent to alert the staff when assistance is needed and if the staff is asleep in the front of the facility, they are not able to hear the residents calling for assistance. LPA observed only one (1) resident was ambulatory. During LPA’s visit LPA witnessed R1 yelling for S2 assistance. Allegation: Staff do not provide adequate food service W1 stated during initial interview the foods provided to the residents are not adequate. The facility offers meals that are heavy in carbohydrates and is not good for the residents with a diagnosis of diabetes. W1 stated during interview that the facility offers a lot of pastas, pancakes, and cereals. Grocery shopping is done by Continued on LIC9099C. Continued from LIC9099C. S1 or S3, stated S2 during interview. R1 stated during interview that her family brings her food often because she is not able to eat most foods provided by the facility. LPA conducted a tour during the annual visit of the facility on November 12, 2024, and observed the facility did not have a 7-day supply of perishables and 2-day non-perishables foods for residents. LPA observed frozen meats, a few canned goods, no vegetables or fruits. LPA cited the facility under the annual inspection visit on November 12, 2024. Based on observations, interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8) are being cited on the attached LIC 9099D. Exit interview conducted. A copy of the appeal rights and this report provided.