Complaint·January 21, 2025

(Report Continued from LIC 9099...)(PAGE 2) During the initial visit on 12/04/2024, visit LPA Mosley conducted a physical plant tour at 9:45 a.m. to ensure there were no immediate health and safety hazards and facility is in compliance with Title 22 Regulations. At 10:04 a.m., LPA and Administrator Designee inspected food items in the two (2) refrigerators and two (2) freezers in the kitchen area to check for proper labels and expiration dates. LPA also interviewed five (5) out of six (6) residents, interviewed two (2) staff including the Administrator Designee and reviewed relevant documents pertaining to the investigation. During today’s visit, LPA Mosley conducted a physical plant tour at 2:35 p.m. to ensure there are no immediate health and safety hazards and facility is in compliance with Title 22 Regulations. On the allegation Staff do not keep the facility free of pest it is the concern of the Reporting Party (RP) that pests are present in the kitchen. To investigate this complaint, LPA conducted a physical plant tour on 12/04/2024 and inspected the kitchen and food area. During the inspection the LPA did not actively observe any pests in the kitchen area, however witnessed one (1) cockroach walking along the floor adjacent to the dining table area in the kitchen area. Interviews with resident’s support that the facility has active cockroach activity, however pest control services are performed on a weekly, or biweekly basis. Interview with the Administrator Designee support that the facility has an active cockroach activity and are working with a pest control to address the issue. The Administrator Designee provided LPA with the recent report issued by the pest control company on the visit 11/23/2024 and have upcoming scheduled visits. Visits are scheduled on an as need basis where the facility schedules when they would like to be serviced. Based on the information obtained and interviews there is sufficient evidence to support the allegation occurred. Therefore, the allegation of Staff do not keep the facility free of pest is deemed substantiated at this time. On the allegation Staff do not provide adequate food service it is the concern of the Reporting Party (RP) that the facility is not properly dating food and food is expired. To investigate this complaint, LPA conducted a physical plant tour on 12/04/2024 and inspected the two (2) refrigerators and two (2) freezers in the kitchen area for proper labels and expiration dates. Inspection of the two (2) refrigerators and freezers revealed that there were a variety of items including two (2) undated, cooked bacon bits in a container, two (2) undated, cooked leftover meat in containers, and undated, cheese wrapped in foil paper. Furthermore, inspection revealed that food was not properly dated, stored or labeled posing an immediate health, safety or personal rights risk to persons in care. (Report Continued on LIC 9099C PAGE 3...) (Report Continued from LIC 9099C PAGE 2...) (PAGE 3) LPA spoke to Administrator Designee about the importance of properly labeling and storing food. Administrator threw out the food that was not properly dated at the time of the visit. Based on LPA observation there is sufficient evidence to support the allegation occurred. Therefore, the allegation of Staff do not provide adequate food service is deemed substantiated at this time. On the allegation Staff do not ensure that sharp objects are inaccessible to residents in care it is the concern of the Reporting Party (RP) that the facility is not properly storing knives leaving them unattended and not locked. To investigate this complaint, LPA conducted a physical plant tour on 12/04/2024 and inspected the kitchen area and where the knives are located. Physical plant tour revealed that at 10:14 a.m. there was a knife unattended in the drying rack. At the time of the visit the LPA pointed out the knife to staff and it was immediately put away. LPA spoke to the Administrator Designee of the importance of keeping knives locked and inaccessible to persons in care. Based on LPA observation there is sufficient evidence to support the allegation occurred. Therefore, the allegation of Staff do not ensure that sharp objects are inaccessible to residents in care is deemed substantiated at this time. The following deficiencies were observed (See LIC 809-D.) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. The Licensee was made aware that failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of the report and appeal rights were provided.