Complaint·July 9, 2025

(Continued from LIC9099) An additional staff interview was conducted on 09/09/25 at approximately 1:00 p.m. LPA's interview with seven (07) out of (07) residents 06/06/25 deny the allegation. Residents corroborate not witnessing staff on their cellphones while serving meals. LPA's interview with five (5) out of (07) staff denied seeing coworkers use cellphones while serving meals or failing to follow sanitation protocols. One (1) staff member noted that new employees occasionally need reminders to wear gloves, but confirmed that these issues were addressed before any incidents occurred. Another staff member acknowledged a past concern involving cellphone use but stated it had been resolved and had not occurred recently. Two (2) staff members reported having witnessed other staff use cellphones without washing their hands or changing gloves during meal service. One (1) of these staff also recalled seeing staff #1(S1) prepare food without gloves. However, the second staff did not corroborate that specific observation. LPA’s review of facility policy confirmed clear guidance on hand washing procedures, and documentation confirmed that staff had participated in multiple training sessions involving hand hygiene. Staff job applications reviewed by LPA revealed staff have appropriate qualifications to perform assigned food service duties. While some staff reported isolated concerns, the majority of resident and staff interviews did not corroborate the allegation. Therefore, the allegation is deemed Unsubstantiated at this time. Allegation: Facility did no follow food safety guidelines when preparing food. Regarding the allegation it was reported that food felt under cooked. To investigate the allegation, LPA Rios conducted an initial complaint visit on 06/06/25. On 06/06/25 LPA Rios interviewed seven (07) out of thirty-six (36) residents or over 10% of the population. LPA Rios interviewed the administrator and six (06) staff. LPA also obtained and reviewed copies of the facility’s menu, residents that ate meals prepared by the facility, nurse's daily notes for 05/03/25, food temperature log, along with staff individual food safety training. LPA Rios also observed the kitchen and dining area on 06/06/25 during lunch time. LPA's interview with four (04) out of (07) residents interviewed on 06/06/25 , stated they were satisfied with the quality and temperature of the food served and denied the allegation. LPA's interview with three (03) out of seven (07) residents reported that their meals felt colder than preferred, believing the food may have been undercooked. However, the residents did not reference the same meal or confirm a consistent issue. One (1) of the three noted that such concerns were in the past and that the food served more recently has improved. Six (06) out of (07) staff denied the kitchen staff do not follow food safety guidelines. (Page 2 of 3) (Continued from (LIC9099-C) five (5) acknowledged that one resident prefers food to be extremely hot and may return meals that do not meet that personal preference—even when temperatures are within regulatory range. Staff consistently stated that food is temperature checked after cooking and again while placed on the steam table prior to serving. LPA observed staff conduct temperature checks during lunch service, and all measurements were found to be within the appropriate range. Although some residents expressed personal preferences regarding food temperature, the investigation did not reveal consistent or corroborated evidence of undercooking or failure to follow food safety protocols. Based on LPA's observations and facility records, the allegation is deemed Unsubstantiated at this time. No deficiencies cited. Exit interview conducted. Copy of report provided. (Page 3 of 3)