complaint·April 22, 2025

(Page 2) Report continued from LIC 9099... During today’s visit, starting at 9:51 a.m. LPAs conducted the entrance interview and a brief physical plant tour to ensure there are no immediate health and safety concerns and facility is in compliance with Title 22 Regulations. Starting at 9:59 a.m. LPAs conducted an in-person interview with one (1) staff, a telephonic interview with one (1) staff and R1’s California Department of Health Care Services Case worker (CDHCS CW), in person interview with Resident #1 (R1), inspected the kitchen and food service area, a file review and obtained copies of pertinent documents relevant to the investigation. On the allegation Staff are not following resident's physician order for a special diet it is the concern of the reporting party (RP) that the facility is not providing accommodations for R1’s special diet. To investigate this complaint, LPAs conducted in person interviews with one (1) staff and the Administrator, telephonic interviews with one (1) staff and CDHCS CW, inspected the kitchen and food service area and reviewed documents relevant to the investigation. Interview with R1 revealed that the food provided at the facility is not to their liking and would prefer to have food that is aligned to their culture. R1 stated that the facility does not provide accommodations for the special diet. Interviews with staff revealed that the facility provides R1 with accommodations for a special diet however R1 refuses to accept the accommodations. Staff #1 (S1) revealed that they prepare the meals at the facility and always provide accommodations for R1’s special diet. R1 will refuse the food that goes along with the special diet and request substitutions that do not follow the special diet. Interview with Staff #2 (S2) revealed that the facility provides the proper accommodations for R1 however R1 refuses. S2 states that R1 has stated multiple times that the food that is provided is not to their liking. R1 would prefer to have food that is aligned to their culture however it is not aligned to the special diet. Interview with the Administrator revealed that R1 refuses meals that go along with the special diet. The facility provides accommodations to all meals for R1 however R1 refuses. Inspection of the kitchen and food service area revealed that the facility has information posted with food choices/ suggestions for R1’s special diet. Refrigerator and food pantry were inspected for special diet products. Report continued on LIC 9099-C PAGE 3... (Page 3) Report continued from LIC 9099C... The facility had multiple items listed on the special diet food choices such as unsweetened almond milk, plain yogurt, brown rice, whole grain pasta, corn, bell peppers, cucumbers, lettuce, apples, grapes and unsweetened tea. Documents reviewed revealed that the facility has accommodations and substitutions on the menu. R1 has refused recommendations from the staff to follow the special diet on multiple occasions dating back to when R1 was first admitted. Although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation of Staff are not following resident's physician order for a special diet is deemed unsubstantiated at this time. No deficiencies were observed during today’s inspection. Exit interview conducted. Report was reviewed and a copy was provided.